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.
Bidragets oversatte titel | Rectovesical fistula as a complication to endoscopic vacuum treatment of a chronic presacral cavity |
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Originalsprog | Dansk |
Tidsskrift | Ugeskrift for Laeger |
Vol/bind | 175 |
Udgave nummer | 22 |
Sider (fra-til) | 1573-4 |
Antal sider | 2 |
ISSN | 0041-5782 |
Status | Udgivet - 27 maj 2013 |
Emneord
- Abscess
- Aged
- Anastomosis, Surgical
- Anti-Bacterial Agents
- Endoscopy, Gastrointestinal
- Humans
- Magnetic Resonance Imaging
- Male
- Postoperative Complications
- Rectal Fistula
- Rectal Neoplasms
- Treatment Outcome
- Urinary Bladder Fistula
- Urinary Tract Infections
- Vacuum