Current considerations in the management of rectovaginal fistula from Crohn's disease.

Rectovaginal fistulas are dreaded complications of Crohn's disease. Accurate assessment is essential for planning management. Treatment options range from observation to medical therapeutics to the need for surgical intervention. Ultimately, establishing reasonable expectations is mandatory when treatment algorithms are considered. In this article, we review the evaluation of these fistulas and the current options to consider in the treatment of Crohn's related rectovaginal fistula.

A horseshoe adrenal gland in an infant with asplenia.

Adrenal anomalies are rare, and when present are usually associated with renal malformations. In this article we present a case of "horseshoe" adrenal glands in a patient with asplenia, various cardiac anomalies and normal kidneys and bladder.