Jejunal-rectal fistula as a complication of postoperative radiotherapy.
We present the case of a patient with an unusual, complex enteric fistula with multiple tracts and associated abscesses. The fistula was a late complication of radiotherapy, administered three years earlier, after resection for carcinoma of the sigmoid colon. Most of the small bowel was involved in the radiation-induced disease. A wide resection was performed successfully. This report reviews current literature on intra-abdominal postradiotherapy injuries, particularly intestinal fistulae.
Albu
E
E
Department of Surgery, Bronx-Lebanon Hospital Center, New York.
Gerst
P H
PH
Ene
C
C
Carvajal
S
S
Rao
S K
SK
D003131:Combined Modality Therapy; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology* / Q000601:surgery; D007579:Jejunal Diseases / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care / Q000379:methods*; D011379:Prognosis; D011878:Radiotherapy / Q000009:adverse effects; D012003:Rectal Fistula / Q000209:etiology* / Q000601:surgery; D012811:Sigmoid Neoplasms / Q000532:radiotherapy* / Q000601:surgery