drobinson1
Networker
Can someone please help a fellow coder and I understand the following report? We know what a fistula study is but it confused us when a catheter was left in.
Reason For Study: abdominal fistula
History: 75-year-old male with persistent fistulous tract at the site of prior gastrostomy. The patient the patient has another gastrostomy of the past year which has been functioning.
The skin fistulous tract was cleanse the Chloraprep solution. A 10 French Foley catheter with balloon inflated 3 cc was gently advanced into the cutaneous piece fistula tract. With balloon occluding the orifice, contrast injection into the Foley catheter during fluoroscopic visualization demonstrates immediate filling of the tract entering into the stomach. The catheter was secured to the skin within the fistula and the patient was transferred for CT scan of the abdomen.
Impression:
1. Cutaneous fistula at the prior gastrostomy site appears to drain from the gastric lumen. A CT scan will be performed to determine any additional intervening structures.
Reason For Study: abdominal fistula
History: 75-year-old male with persistent fistulous tract at the site of prior gastrostomy. The patient the patient has another gastrostomy of the past year which has been functioning.
The skin fistulous tract was cleanse the Chloraprep solution. A 10 French Foley catheter with balloon inflated 3 cc was gently advanced into the cutaneous piece fistula tract. With balloon occluding the orifice, contrast injection into the Foley catheter during fluoroscopic visualization demonstrates immediate filling of the tract entering into the stomach. The catheter was secured to the skin within the fistula and the patient was transferred for CT scan of the abdomen.
Impression:
1. Cutaneous fistula at the prior gastrostomy site appears to drain from the gastric lumen. A CT scan will be performed to determine any additional intervening structures.