Complex Seminal Vesicle Fistula: A Rare Complication Of Abdomino-Perineal Resection
نویسندگان
چکیده
Seminal vesicle fistula is a very rare and unusual complication of abdomino-perineal resection for carcinoma of the rectum. Persistent, discharging perineal sinus should prompt the clinician to consider this unusual entity in the remote post-operative period. Pre-operative radiotherapy may be a contributing factor. CT or MR sinography may prove to be a valuable investigational tool for delineating the fistulous tract. Here we report one such case that serves to highlight the nature of existence of this unusual complication in pelvic surgery.
منابع مشابه
Successful closure of a recto-prostatic fistula.
Recto-prostatic fistula is a rare complication of prostatic surgery, occurring usually because surgical planes are not appreciated. We describe a combined abdomino-perineal approach for the repair of a large recto-prostatic fistula with the interposition of omentum and gracilis without formally closing the fistula in layers.
متن کاملFistula between anterior rectum wall and seminal vesicles as a rare complication of low-anterior resection of the rectum
Laparoscopic surgery has become a frequently used modality for rectal tumour surgery. A fistula between the rectum and lower urinary tract is one of the possible complications, with rectovesical fistulas occurring most frequently. This case report presents a 66-year-old man who underwent a laparoscopic low-anterior resection of the rectum due to the presence of a polyp with a high risk of malig...
متن کاملMucinous adenocarcinoma arising from chronic perianal fistula.
Perianal mucinous adenocarcinoma is a rare tumor which may be associated with long-standing chronic perianal sepsis. Early diagnosis is challenging and is based on a high index of clinical suspicion and specific histological features. Definitive treatment is surgical, in the form of an abdomino-perineal resection. We hereby describe a case of a perianal mucinous adenocarcinoma arising from long...
متن کاملI-2: Ejaculatory Duct Obstruction
Ejaculatory duct obstruction (EDO) underlies 1-5% of male infertility, although the diagnosis of EDO can be complex, treatment is well established and can be very effective. Part of reason that this condition probably is underdiagnosed, is because of its rarity, subtle presentation and the concomitantly low index of suspicion held by physicians. The causes of EDO are divided into congenital and...
متن کاملLaparoscopic management of congenital H-type urethroanal fistula.
Laparoscopic management in a case of congenital urethroanal fistula with a normal anterior urethra in a 5-month-old male child is reported. A congenital H-type urethroanal fistula is a rare entity. Management of such fistula has always been surgical, ranging from perineal dissection, posterior saggital approach, to abdomino-perineal approach. We describe a minimally invasive laparoscopic method...
متن کامل