Colonic J pouch-anal reconstruction with gluteus maximus transposition for a post-irradiation rectovaginal fistula.
A 44-year-old female with rectal cancer underwent anoabdominal rectal resection and colonic J pouch-anal anastomosis after preoperative intraluminal brachytherapy. Pelvic sepsis developed a rectovaginal fistula. We attempted to close the fistula and restore the anal function with coloanal re-anastomosis and bilateral gluteus maximus transposition. She regained good anal function without recurrence of the fistula.
Second Department of Surgery, Hyogo College of Medicine, Japan.
M
M
Kusunoki
Y
Y
Shoji
H
H
Yanagi
T
T
Yamamura
J
J
Utsunomiya
D000328:Adult; D001918:Brachytherapy / Q000009:adverse effects*; D005260:Female; D006801:Humans; D018482:Muscle, Skeletal / Q000637:transplantation*; D016737:Proctocolectomy, Restorative; D012004:Rectal Neoplasms / Q000532:radiotherapy* / Q000601:surgery; D012006:Rectovaginal Fistula / Q000209:etiology / Q000601:surgery*