title: Conservative management for an entero-adnexal fistula at initial presentation of advanced ovarian carcinoma.
abstract: Gastrointestinal fistulae can occur in ovarian cancer patients, usually in the setting of advanced relapsed disease. Treatment typically involves immediate surgery.Here, we describe a case of an abscess resulting from an intestinal fistula as the first manifestation of advanced epithelial ovarian cancer, and we review the current literature on this subject. The patient was successfully treated with a combination of chemotherapy, antibiotics, and delayed surgery. Optimal debulking was achieved without a need for bowel resection.This report is the first of conservative management of a fistula in an ovarian cancer patient in the chemotherapy-naïve setting.
authors: Department of Oncology, Clalit Health Services, Lin Medical Center, Haifa, Israel.
authors: A
authors: A
authors: Shai
authors: E
authors: E
authors: Grikshtas
authors: Y
authors: Y
authors: Segev
authors: M
authors: M
authors: Moskovitz
authors: A
authors: A
authors: Bitterman
authors: M
authors: M
authors: Steiner
authors: O
authors: O
authors: Lavie
keywords: Fistula; abscess; chemotherapy; ovarian cancer; serous