title: Combined abdominal and posterior sagittal transrectal approach for the repair of rectourinary fistula resulting from a shotgun wound.
abstract: The repair of rectourinary fistulas is frequently a matter of great difficulty. We report the case of a young man who sustained a shotgun wound to his pelvis and developed a fistula from the bladder neck to the rectum, which was repaired by a combined transabdominal and posterior sagittal transrectal approach. We recommend that this procedure should be part of the surgical armamentarium available to deal with such complicated lesions.
authors.affiliation: Dr. Domingo Luciani Hospital, Caracas, Venezuela
authors.forename: R V
authors.initials: RV
authors.lastname: Pieretti
authors.forename: R V
authors.initials: RV
authors.lastname: Pieretti-Vanmarcke
mesh_terms: D000293:Adolescent; D006801:Humans; D008297:Male; D011859:Radiography; D012003:Rectal Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D001747:Urinary Bladder Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D014948:Wounds, Gunshot / Q000150:complications*