Rectovaginal fistula after low anterior resection for rectal cancer healed by nonoperative treatment

BACKGROUND: Rectovaginal fistula (RVF) is a serious complication after colorectal anastomosis using a double-stapling technique. RVF following this procedure has been considered to be refractory to conservative treatment. CASE PRESENTATION: A 75-year-old woman who underwent laparoscopy-assisted low...

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Detalles Bibliográficos
Autores principales: Emoto, Shigenobu, Nozawa, Hiroaki, Yoneyama, Satomi, Murono, Koji, Kaneko, Manabu, Sasaki, Kazuhito, Otani, Kensuke, Nishikawa, Takeshi, Tanaka, Toshiaki, Hata, Keisuke, Kiyomatsu, Tomomichi, Kawai, Kazushige, Omata, Kanako, Noguchi, Tatsuki, Masuda, Koichi, Sakata, Hiroki, Tajima, Yusuke, Hidemura, Akio, Suzuki, Hiroyuki, Ishimaru, Masahiro, Watanabe, Toshiaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5655408/
https://www.ncbi.nlm.nih.gov/pubmed/29073547
http://dx.doi.org/10.1016/j.ijscr.2017.10.019
Descripción
Sumario:BACKGROUND: Rectovaginal fistula (RVF) is a serious complication after colorectal anastomosis using a double-stapling technique. RVF following this procedure has been considered to be refractory to conservative treatment. CASE PRESENTATION: A 75-year-old woman who underwent laparoscopy-assisted low anterior resection for early rectal cancer developed RVF on the 12th postoperative day. Conservative treatment was chosen and was successful. She was discharged from the hospital after 3 weeks with a normal oral diet. Colonoscopy on the 50th postoperative day showed that the RVF was closed. CONCLUSION: Conservative treatment may be effective for RVF after colorectal anastomosis using a double-stapling technique when there is no evidence of defecation through the vagina.

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