Rectoseminal vesicle fistula as a rare complication after low anterior resection: a report of three cases.
A rectoseminal vesicle fistula is a rare complication after a low anterior resection for rectal cancer, usually developing in the outpatient postoperative period with pneumaturia, fever, scrotal swelling or testicular pain. A diagnostic water-soluble contrast enema, cystography and computed tomography reveal a tract from the rectum to the seminal vesicle. Anastomotic leakage is thought to be partially responsible for the formation of such tracts. This report presents three cases of rectoseminal vesicle fistula, and the presumed course of the disease and optimal treatment options are discussed.
Department of Colorectal Surgery, National Cancer Center Hospital, East, 6-5-1 Kashiwanoha, Kashiwa, Chiba 277-8577, Japan.
Kentaro
K
Nakajima
Masanori
M
Sugito
Yuji
Y
Nishizawa
Masaaki
M
Ito
Akihiko
A
Kobayashi
Yusuke
Y
Nishizawa
Takanori
T
Suzuki
Toshiyuki
T
Tanaka
Toru
T
Etsunaga
Norio
N
Saito
D000230:Adenocarcinoma / Q000601:surgery*; D000368:Aged; D057868:Anastomotic Leak / Q000175:diagnosis / Q000209:etiology; D013505:Digestive System Surgical Procedures / Q000379:methods; D005832:Genital Diseases, Male / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012003:Rectal Fistula / Q000175:diagnosis / Q000628:therapy; D012004:Rectal Neoplasms / Q000175:diagnosis / Q000601:surgery*; D012669:Seminal Vesicles; D014057:Tomography, X-Ray Computed