What we thought was a mass is actually a coronary artery aneurysm with a fistula into one of your heart chambers.

我们以为的肿块其实冠状动脉瘤，它通过你的心房连接着。

I had a woman who was born with esophageal fistula to her trachea.

我曾接诊过位天生患有食气的女性。

St. Martin was left with a hole, or fistula, in his abdominal wall, which allowed anyone to see right into his stomach.

圣马丁的腹壁上留下了洞，或者说，任何都可以直接看到他的胃。

When the cancer invades and perforates the entire esophageal wall, it can invade the trachea in front of it, forming a fistula.

当肿瘤侵袭并穿透食壁全层，会入侵位于前方的气，从而形成。

MARY ROACH: What happened is he grew a fistula.

玛丽·罗奇：发生的事情他长了。

To try to find a treatment for vestical vaginal fistula.

试图找到治疗前庭阴道的方法。

Sims rose to fame by developing a treatment for a condition called Obstetric Fistula.

西姆斯因开发种治疗产科病的方法而声名鹊起。

Over time, Crohn's disease can lead to other complications, including bowel obstruction, ulcers, fistulas, anal fissures, malnutrition, and other health problems.

随着时间的推移，克罗恩病可能导致其他并发症，包括肠梗阻、溃疡、、肛裂、营养不良和其他健康问题。

JON REINER: In the area where I had the tear in my intestine, there's now a fistula, which is a hole.

乔恩·雷纳：在我肠道撕裂的地方，现在有，这洞。

Washington: Dr. James Marion Simms very typically said he had cured vaginal fistula by his experimental surgeries on enslaved Black women.

华盛顿：詹姆斯·马里昂·西姆斯医生非常典型地表示，他通过对被奴役的黑妇女进行实验性手术治愈了阴道。

By then she had treated more than 25,000 fistula cases. To help it grow she taught herself to speak to crowds of people and to ask for money.

到那时，她已经治疗了25,000多病例。为了帮助医院成长，她自学了在群中演讲和向要钱。

Obstetric Fistula, by the way, is a tear between the birth canal and rectum, caused by prolonged, obstructed labor which often results in infection and urinary incontinence.

顺便说句，产科产道和直肠之间的撕裂，由长时间、难产引起，通常会导致感染和尿失禁。

If the other organ is the small intestine, then this is called a cholecystoenteric fistula, and the fistula becomes a direct route for gallstones to enter the bowel.

如果脏器小肠，叫做胆囊小肠；形成了可以让胆结石直接进入小肠的通道。

Eventually these repeated bouts of inflammation might cause the gallbladder wall to thin out and erode away completely, forming a fistula which is essentially a passageway between the gall bladder and the organ that it's stuck to.

最终，反复发生的炎症可能导致胆囊壁变薄，并最终完全侵蚀，形成；本质上胆囊和粘附的脏器之间的通道。

But the result though was this, things that would go into the stomach instead of going out into the duodenum, the small intestine, could go out of this hole, and that was the fistula.

但结果却这样：原本应进入胃中而非进入十二指肠（小肠的部分）的物质，现在却能从这洞口流出， 这就。 从某种意义上说， 他的胃既救了他，也害了他，可怜的阿列克谢。

Alright, as a quick recap: gallstone ileus is where repeated cholecystitis, or inflammation of the gallbladder, cause a cholecystoenteric fistula to form, allowing gallstones to travel to the small bowel and become lodged, which can lead to mechanical obstruction.

得！快速回顾下：胆石性肠梗阻由于反复发作的胆囊炎，即胆囊炎性疾病，会导致胆囊肠道形成，胆结石可由此直接进入小肠使其堵塞，引发机械性肠梗阻。