title: [Rectovesical fistula as a complication to endoscopic vacuum treatment of a chronic presacral cavity].
abstract: A 66-year-old male who underwent Hartmann's operation for rectal cancer developed a pelvic abscess treated with late onset endoscopic vacuum (endo-VAC). He developed a fistula from the abscess to the bladder. The literature does not support prolonged or late onset endo-VAC to treat chronic pelvic abscesses. There is only evidence for early treatment of the presacral abscess. To prevent fistula formation during endo-VAC, care should be taken if the abscess-cavity is close to the bladder or the sponge is in direct contact with other bowel segments. Magnetic resonance imaging with contrast enema can show the relation.
authors.affiliation: Gastroenheden - Kirurgisk Sektion, Hvidovre Hospital, Kettegård Allé 30, 2650 Hvidovre, Denmark. nikolaj.albeck.nerup01@hvh.regionh.dk
authors.forename: Nikolaj
authors.initials: N
authors.lastname: Nerup
authors.forename: Orhan
authors.initials: O
authors.lastname: Bulut
mesh_terms: D000038:Abscess / Q000209:etiology / Q000601:surgery; D000368:Aged; D000714:Anastomosis, Surgical / Q000009:adverse effects* / Q000379:methods; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016099:Endoscopy, Gastrointestinal / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011183:Postoperative Complications; D012003:Rectal Fistula / Q000209:etiology*; D012004:Rectal Neoplasms / Q000601:surgery; D016896:Treatment Outcome; D001747:Urinary Bladder Fistula / Q000209:etiology*; D014552:Urinary Tract Infections / Q000188:drug therapy; D014618:Vacuum
chemical_list: D000900:Anti-Bacterial Agents