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Open Access

Alternative strategy for the diagnosis of an enterocutaneous fistula in a resource-limited setting

Amber Himmler, Maria Soledad Ordoñez Velecela, Edison Fernando Peña Perez, Juan Carlos Puyana, Juan Carlos Salamea, Raul Pino Andrade
DOI: 10.1136/tsaco-2019-000415 Published 26 January 2020
Amber Himmler
1Department of Surgery, MedStar Georgetown University Hospital, Washington, District of Columbia, USA
2Global Surgery Fellow, University of Pittsburgh, Pittsburgh, Pennsylvania, United States
3Trauma and Acute Care Surgery, Hospital Vicente Corral Moscoso, Cuenca, Azuay, Ecuador
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Maria Soledad Ordoñez Velecela
3Trauma and Acute Care Surgery, Hospital Vicente Corral Moscoso, Cuenca, Azuay, Ecuador
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Edison Fernando Peña Perez
3Trauma and Acute Care Surgery, Hospital Vicente Corral Moscoso, Cuenca, Azuay, Ecuador
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Juan Carlos Puyana
4Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
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Juan Carlos Salamea
3Trauma and Acute Care Surgery, Hospital Vicente Corral Moscoso, Cuenca, Azuay, Ecuador
5Universidad del Azuay Facultad de Medicina, Cuenca, Azuay, Ecuador
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Raul Pino Andrade
3Trauma and Acute Care Surgery, Hospital Vicente Corral Moscoso, Cuenca, Azuay, Ecuador
6Universidad de Cuenca Facultad de Medicina, Cuenca, Azuay, Ecuador
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    Figure 1

    A 4×4 gauze which was placed over the cutaneous opening of a suspected enterocutaneous fistula appears radio-opaque on X-ray, confirming the diagnosis of an enterocutaneous fistula.

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Alternative strategy for the diagnosis of an enterocutaneous fistula in a resource-limited setting
Amber Himmler, Maria Soledad Ordoñez Velecela, Edison Fernando Peña Perez, Juan Carlos Puyana, Juan Carlos Salamea, Raul Pino Andrade
Trauma Surg Acute Care Open Jan 2020, 5 (1) e000415; DOI: 10.1136/tsaco-2019-000415

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Alternative strategy for the diagnosis of an enterocutaneous fistula in a resource-limited setting
Amber Himmler, Maria Soledad Ordoñez Velecela, Edison Fernando Peña Perez, Juan Carlos Puyana, Juan Carlos Salamea, Raul Pino Andrade
Trauma Surg Acute Care Open Jan 2020, 5 (1) e000415; DOI: 10.1136/tsaco-2019-000415
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Alternative strategy for the diagnosis of an enterocutaneous fistula in a resource-limited setting
Amber Himmler, Maria Soledad Ordoñez Velecela, Edison Fernando Peña Perez, Juan Carlos Puyana, Juan Carlos Salamea, Raul Pino Andrade
Trauma Surgery & Acute Care Open Jan 2020, 5 (1) e000415; DOI: 10.1136/tsaco-2019-000415
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