Open surgical repair of axillosubclavian artery injuries is technically demanding and associated with significant morbidity and mortality. Endovascular intervention has emerged as a valuable alternative to open surgical repair. This report presents three cases with axillosubclavian artery injuries managed with endovascular intervention. All three cases had a pseudoaneurysm of the axillosubclavian artery with one case associated with an arteriovenous fistula. They were successfully treated with endovascular stenting and balloon angioplasty. There were no observed acute complications. No complications or recurrence have occurred, with a mean follow-up of 26 months. Endovascular intervention for axillosubclavian artery injuries is less invasive, safe and effective; however, data concerning the long-term effects and complications associated with this technique are lacking.
Ano-rectal sepsis can be complicated by anal fistula during the acute phase of sepsis or within 6 months thereafter. An anal fistula is characterised by chronic purulent drainage or cyclical pain associated with abscess formation, followed by intermittent spontaneous decompression. A fistula-in-ano can be "simple" or "complex". The goal of surgical management is to effectively eradicate current and recurrent septic foci, associated epithelialized tracts and preserve continence. Study present a case of 22 year old male with long recurrent complex ano-scrotal fistula which was treated by ligation of the intersphincteric fistula tract (LIFT) procedure, preserving the anal continence without leaving any residual septic foci that may lead to recurrence.
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