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Rectovaginal fistula after low anterior resection for rectal cancer healed by nonoperative treatment
Ist Teil von
International journal of surgery case reports, 2017-01, Vol.41, p.121-123
Ort / Verlag
Netherlands: Elsevier Ltd
Erscheinungsjahr
2017
Quelle
Access via ScienceDirect (Elsevier)
Beschreibungen/Notizen
•Rectovaginal fistula (RVF) is one of the complications after low anterior resection for rectal cancer.•RVF has been considered to be refractory to conservative treatment.•We report a case of RVF in which conservative treatment was successful.
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.
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.
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.