Rectovaginal fistula following colectomy with an end-to-end anastomosis stapler for a colorectal adenocarcinoma.
An 11-year-old, female neutered Labrador retriever was presented with a micro-invasive differentiated papillar adenocarcinoma at the colorectal junction. A colorectal end-to-end anastomosis stapler device was used to perform resection and anastomosis using a transanal technique. A rectovaginal fistula was diagnosed two days later. An exploratory laparotomy was conducted and the fistula was identified and closed. Early dehiscence of the colon was also suspected and another colorectal anastomosis was performed using a manual technique. Comparison to a conventional manual technique of intestinal surgery showed that the use of an automatic staple device was quicker and easier. To the authors' knowledge, this is the first report of a rectovaginal fistula occurring after end-to-end anastomosis stapler colorectal resection-anastomosis in the dog. To minimise the risk of this potential complication associated with the limited surgical visibility, adequate tissue retraction and inspection of the anastomosis site are essential.
Klein
A
A
Department of Surgery, Ecole Nationale Vétérinaire d'Alfort, 94700 Maisons Alfort, France.
Scotti
S
S
Hidalgo
A
A
Viateau
V
V
Fayolle
P
P
Moissonnier
P
P
D000230:Adenocarcinoma / Q000601:surgery / Q000662:veterinary; D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000662:veterinary*; D000818:Animals; D003082:Colectomy / Q000009:adverse effects / Q000662:veterinary*; D015179:Colorectal Neoplasms / Q000601:surgery / Q000662:veterinary; D004283:Dog Diseases / Q000209:etiology*; D004285:Dogs; D005260:Female; D012006:Rectovaginal Fistula / Q000209:etiology / Q000662:veterinary*; D013536:Suture Techniques / Q000009:adverse effects / Q000662:veterinary*; D013537:Sutures / Q000009:adverse effects / Q000662:veterinary