Computed tomography fistulography of the sternum. A case report on interprofessional collaboration between radiologist and surgeon. (2017)

• Record Type: Journal Article
• Authors: Onat, Mine; Hostrup Nielsen, Per; Jensen, Henrik
• Is Part Of: International journal of surgery case reports. Volume 41(2017)
• Page Start: 97
• Page End: 98
• Publication Date: 2017
• Subjects: Infection -- Thoracic surgery -- Imaging -- Fistulography -- Case report; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2017.08.064
• Languages: English
• ISSNs: 2210-2612

Abstract

Highlights: Transsternal fistula can occur after sternotomi/heart surgery. The present case supports the importance of correct imaging. To achieve the highest possible rate of image acquisition, good cooperation between a surgeon and a radiologist is required. Abstract: Introduction: Trans sternal fistula can occur after sternotomy/heart surgery. Diagnosing this can be difficult. Presentation of case: In this report, we present a unique case of a patient with infection of an ascending aortic prosthetic graft. This patient was oozing from the wound despite several revisions. Many fistulographies were performed before fistulography with surgeon and radiologist revealed a trans sternal fistula. Discussion: Infection with Propionibacterium acnes is often difficult to diagnose. This is in line with the present case, where a surgeon guided fistulography had to be performed followed by appropriate redo surgery with succesful subsequent sternal wound healing. Conclusion: Our case demonstrates the importance of performing a fistulography with the presence of a surgeon, to obtain the best possible result.