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Biomedical subjects

M C Burchell

Publications and source records attributed to M C Burchell.

3 recordsLinked to original sources

Spontaneous umbilical fistula in Crohn's disease. Report of a case.

Spontaneous umbilical fistula in Crohn's disease is extremely rare, with very few reports found on a 15-year review of the medical literature. Among those reports, no patient had prior abdominal surgery. Attention was recently focused on this unique entity when spontaneous umbilical fistula was diagnosed in a 64-year-old anemic male mechanic with known ileocolic Crohn's disease. This fistula locus occurred despite a right lower quadrant appendectomy incision done 15 years earlier. Spontaneous umbilical fistula pathophysiology and pathways are reviewed.

Crohn Disease↗

Radiologic impact on operative access to a retrorectal cyst.

Diverse incisions have been used to excise retrorectal lesions. Operative access must be planned with regard to level and type of lesion, and prevention of postoperative complications. In this case, pelvic contrast CT scan conclusively showed communication between the rectum and a retrorectal cyst-hamartoma. A potential rectocutaneous fistula through the previously planned parasacrococcygeal incision was avoided by this preoperative documentation.

Adult↗