Rektovesikal fistel som komplikation i forbindelse med endoskopisk vakuumbehandling af kronisk præsakral kavitet

Nikolaj Nerup, Orhan Bulut

1 Citationer (Scopus)

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 titelRectovesical fistula as a complication to endoscopic vacuum treatment of a chronic presacral cavity
OriginalsprogDansk
TidsskriftUgeskrift for Laeger
Vol/bind175
Udgave nummer22
Sider (fra-til)1573-4
Antal sider2
ISSN0041-5782
StatusUdgivet - 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

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