Seminal vesicle fistula following abdominoperineal resection for recurrent adenocarcinoma of the rectum. Report of a case
| Autor: | Michael M. Lieber, Thomas A. Kollmorgen, Christine F. Kollmorgen, Bruce G. Wolff |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
Adult
Male medicine.medical_specialty Percutaneous Fistula Rectum Adenocarcinoma Seminal vesicle Postoperative Complications medicine Immune Tolerance Humans Abscess Abdominoperineal resection business.industry Rectal Neoplasms Gastroenterology Seminal Vesicles General Medicine medicine.disease Colorectal surgery Surgery medicine.anatomical_structure Radiotherapy Adjuvant Genital Diseases Male Neoplasm Recurrence Local Complication business |
| Zdroj: | Diseases of the colon and rectum. 37(12) |
| ISSN: | 0012-3706 |
| Popis: | PURPOSE: Fistula formation between the seminal vesicles and a pelvic abscess after abdominal perineal resection for recurrent rectal cancer is reported in a 32-year-old male previously treated with low anterior resection, chemotherapy, and radiation. METHODS: The case history was reviewed for clinical presentation, radiologic studies, and laboratory data. RESULTS: Successful management of this previously unreported complication included percutaneous abscess drainage, antimicrobial therapy, and oral administration of Proscar® (Merck, Sharpe & Dohme, Rathway, NJ). CONCLUSION: Multiple factors predisposed this patient's development of a seminal vesicle fistula. These include extensive scarring from previous surgery, pelvic radiation, and an immunologically depressed status. The efficacy of Proscar® in the successful management of this case remains unknown. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink