malignant fistula

malignant fistula

A fistula that typically develops between two loops of large bowel, when a large colorectal carcinoma extends to the serosal surface of one loop of bowel and continues growing onto the surface of a second loop of bowel. Central necrosis of the two tumour masses results in a fistula between the loops.
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Patients with branching fistulous tracts, multiple fistulae, malignant fistula, inflammatory bowel disease (IBD), tuberculosis, hidradenitis suppurativa, HIV, diabetes mellitus, using steroids and recurrent fistula were excluded from the study.
Seventy nine (69.9%) patients were having vesicovaginal fistula including three cases of malignant fistula. Twenty nine (25.6%) patients had ureterovaginal fistula, 3 (2.6%) had vesicouterine fistula and 1 (0.88%) each with urethrovaginal fistula and combined fistula (vesicovaginal fistula along with ureterovaginal fistula).

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