Management of radiation-induced rectovesical fistula in a woman using ileum: A case report and review of the literature

BACKGROUND: Radiation-induced rectovesical fistulas (RVFs) require the most demanding treatment. We presented a rare case of postradiation RVF in a woman repaired with ileum. CASE PRESENTATION: A 49-year-old women was referred to our department for fecaluria and dysuria after radiation for cervical...

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Detalles Bibliográficos
Autores principales: Mao, Qiqi, Luo, Jindan, Fang, Jiajie, Jiang, Hai
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
7300
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5704807/
https://www.ncbi.nlm.nih.gov/pubmed/29145262
http://dx.doi.org/10.1097/MD.0000000000008553
Descripción
Sumario:BACKGROUND: Radiation-induced rectovesical fistulas (RVFs) require the most demanding treatment. We presented a rare case of postradiation RVF in a woman repaired with ileum. CASE PRESENTATION: A 49-year-old women was referred to our department for fecaluria and dysuria after radiation for cervical cancer. The voiding cystourethrography demonstrated a large RVF. A segment of ileum was separated into 2 parts for the simultaneous reconstruction of bladder and rectum, which led to a permanently closed fistula. This approach is easily accessible via transabdominal approach, could be applied for large defect, and bladder augmentation could be performed simultaneously. CONCLUSION: The repair of an RVF using ileum appears feasible and represents an attractive alternative for the management of RVFs.

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