A 56- year-old man underwent a laparoscopic low anterior resection for rectal cancer (cT3bN0M0).
Postoperatively, he was fairly well and started oral intake on postoperative day (POD) 9. On POD 14, he had an uncomfortable feeling during urination and noticed pneumaturia, and urinalysis revealed hematopyuria. Abdominal computed tomography (CT) showed air collection in the left seminal vesicle and bladder, and colonoscopy demonstrated a fistula at the anastomotic site. Abdominal CT following the fistulography under colonoscopy demonstrated fistulous communication between the rectum and left seminal vesicle. Under the diagnosis of seminal vesicle-rectal fistula, the patient was successfully treated by filling the fistula with fibrin glue by colonoscopy. No obvious recurrence of the fistula has been observed for 6 months after the treatment.
Written by:
Soda T, Kiuchi H, Kakuta Y, Nakai Y, Mizushima T, Tsujimura A, Nonomura N. Are you the author?
The Department of Urology, Osaka University Graduate School of Medicine; The Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine.
Reference: Hinyokika Kiyo. 2013 Dec;59(12):795-8.
PubMed Abstract
PMID: 24419012
Article in Japanese.
UroToday.com Trauma & Reconstruction Section
