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Komori K, Kimura K, Kinoshita T, et al. A delayed-onset rectourethral fistula after intersphincteric resection for very low rectal cancer: a case report and literature review. Surg Case Rep. 2015;1(1):70doi: 10.1186/s40792-015-0074-9.
Komori, K., Kimura, K., Kinoshita, T., Ito, S., Abe, T., Senda, Y., Misawa, K., Ito, Y., Uemura, N., Natsume, S., Kawakami, J., Iwata, Y., Tsutsuyama, M., Shigeyoshi, I., Akazawa, T., Hayashi, D., & Shimizu, Y. (2015). A delayed-onset rectourethral fistula after intersphincteric resection for very low rectal cancer: a case report and literature review. Surgical case reports, 1(1), 70. https://doi.org/10.1186/s40792-015-0074-9
Komori, Koji, et al. "A delayed-onset rectourethral fistula after intersphincteric resection for very low rectal cancer: a case report and literature review." Surgical case reports vol. 1,1 (2015): 70. doi: https://doi.org/10.1186/s40792-015-0074-9
Komori K, Kimura K, Kinoshita T, Ito S, Abe T, Senda Y, Misawa K, Ito Y, Uemura N, Natsume S, Kawakami J, Iwata Y, Tsutsuyama M, Shigeyoshi I, Akazawa T, Hayashi D, Shimizu Y. A delayed-onset rectourethral fistula after intersphincteric resection for very low rectal cancer: a case report and literature review. Surg Case Rep. 2015;1(1):70. doi: 10.1186/s40792-015-0074-9. Epub 2015 Aug 29. PMID: 26366366; PMCID: PMC4560150.
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Surg Case Rep. 2015;1(1):70. doi: 10.1186/s40792-015-0074-9. Epub 2015 Aug 29.

A delayed-onset rectourethral fistula after intersphincteric resection for very low rectal cancer: a case report and literature review.

Surgical case reports

Koji Komori, Kenya Kimura, Takashi Kinoshita, Seiji Ito, Tetsuya Abe, Yoshiki Senda, Kazunari Misawa, Yuichi Ito, Norihisa Uemura, Seiji Natsume, Jiro Kawakami, Yoshinori Iwata, Masayuki Tsutsuyama, Itaru Shigeyoshi, Tomoyuki Akazawa, Daisuke Hayashi, Yasuhiro Shimizu

Affiliations

  1. Department of Gastroenterological Surgery, Aichi Cancer Center Hospital, 1-1, Kanokoden, Chikusa, Nagoya, Aichi 464-8681 Japan.

PMID: 26366366 PMCID: PMC4560150 DOI: 10.1186/s40792-015-0074-9

Abstract

Rectourethral fistula is one of the complications that can occur after prostatectomy in the urologic discipline. However, a delayed-onset rectourethral fistula after intersphincteric resection (ISR) for low rectal cancer is extremely rare. Here, we report one such case in a 57-year-old man. After ISR for low rectal cancer with a diverting stoma (DS), the DS was closed. After approximately 1 year, frequent pneumaturia and right orchitis were observed. Results of contrast enemas and abdominal computed tomography examinations revealed a rectourethral fistula from an anastomosis to the urethra. The colonoscopic appearance revealed a pinhole fistula on the anastomotic line, with thick pus. We performed a transverse colostomy, and the pneumaturia and right orchitis were no longer observed. Two months later, colonoscopy, contrast enemas, and cystoscopy revealed no rectourethral fistula. To the best of our knowledge, our case is the first report of a delayed-onset rectourethral fistula after ISR.

Keywords: Intersphincteric resection; Rectal cancer; Rectourethral fistula

References

  1. Ann Surg Oncol. 2014 Jun;21 Suppl 3:S422-8 - PubMed
  2. Int Surg. 2014 Jan-Feb;99(1):23-7 - PubMed
  3. Surgery. 2005 Mar;137(3):329-36 - PubMed
  4. Urology. 2009 May;73(5):1110-4 - PubMed
  5. J Am Coll Surg. 2015 Feb;220(2):186-94 - PubMed
  6. Dig Surg. 2013;30(4-6):272-7 - PubMed
  7. Dig Surg. 2011;28(5-6):404-9 - PubMed
  8. Br J Surg. 2015 Apr;102(5):462-79 - PubMed
  9. J Surg Oncol. 2008 Feb 1;97(2):180-5 - PubMed

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