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Semin intervent Radiol 2003; 20(3): 217-224
DOI: 10.1055/s-2004-815572
Copyright © 2003 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Imaging and Management of Leaks and Fistulas

John Y. Kim1,2 , Debra A. Gervais2
  • 1Radiologist, Division of Abdominal Imaging and Intervention, Massachusetts General Hospital, Boston, Massachusetts
  • 2Department of Radiology, Division of Abdominal Imaging and Intervention, Massachusetts General Hospital, Boston, Massachusetts
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Publication History

Publication Date:
15 January 2004 (online)

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ABSTRACT

Leaks and fistulas can involve multiple organ systems, including the genitourinary, biliary, and gastrointestinal systems. Etiologies include infectious, inflammatory, traumatic injury, postoperative, and iatrogenic injury. Early identification and correct diagnosis are imperative in the appropriate management of these conditions. An array of imaging modalities is available for diagnosing leaks and fistulas, including fluoroscopy, ultrasound, computed tomography, magnetic resonance imaging, and nuclear scintigraphy. Management is a multidisciplinary approach with close communication between the interventional radiologist, surgeon, and medical subspecialist.

KEYWORDS

Leaks - fistulas - imaging - management - interventional radiology

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