En bloc resection for malignant colouterine fistula

Halevy, Ariel; Bracha, M.; Jeroukhimov, Igor; Nesterenko, Vladimir

doi:10.1007/s10151-009-0555-6

Cited by 7 publications

(8 citation statements)

References 4 publications

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“…Several reports have been published about colouterine fistulas caused by diverticulitis of the sigmoid colon [ 8 ]. There are few reports on malignancy associated with a colouterine fistula [ 9 , 10 ]. Unfortunately, our patient was diagnosed as having colorectal cancer invading the uterine body.…”

Section: Discussionmentioning

confidence: 99%

A case of pyometra with a colouterine fistula due to rectal cancer presenting as acute abdomen

Kanemura

Yoshida

Toji

et al. 2020

Journal of Surgical Case Reports

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Pyometra usually develops in elderly women, and it can be caused by various etiologies. We describe a rare case of pyometra with a colouterine fistula due to rectal cancer presenting as acute abdomen. A 67-year-old woman with purulent vaginal discharge and abdominal distension was referred to our hospital for suspected pyometra. Because the vaginal echogram showed pyometra at her initial medical examination, drainage was performed. Her symptoms subsequently disappeared temporarily, but 4 months later, she developed acute abdomen. The computed tomography scan showed a pelvic mass with expansion of the intestine. The patient underwent en bloc resection of the mass. Histopathologic analysis of the tumor showed rectal cancer with invasion of the uterus and ileum, and a colouterine fistula. Although pyometra due to a colouterine fistula is a very rare condition, the incidence of associated malignancy is considerable. Physicians should be aware of this potential presentation of colorectal cancer.

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Section: Discussionmentioning

confidence: 99%

A case of pyometra with a colouterine fistula due to rectal cancer presenting as acute abdomen

Kanemura

Yoshida

Toji

et al. 2020

Journal of Surgical Case Reports

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“…There have been a small number of descriptions of colouterine fistula resulting either from iatrogenic causes postsurgery,11 foreign-body-induced inflammation, diverticular disease5 6 or malignant colorectal or uterine disease 7. Various invasive and imaging techniques have been used to identify the diagnosis, including hysteroscopy, colonoscopy, as well as sonohysterography, contrast-enhanced CT and MRI.…”

Section: Discussionmentioning

confidence: 99%

Single-incision laparoscopic (SIL) sigmoid colectomy and uterus-preserving repair for colo-uterine fistula secondary to severe diverticular disease: an unusual technical solution for an unusual presentation of a common disease

et al. 2016

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Colouterine fistula as a potential complication of chronic diverticulitis is a rare entity with less than 30 cases reported worldwide. Generally, patients require a multidisciplinary approach including a major laparotomy with hysterectomy and sigmoid colectomy, and, occasionally, temporary colostomy. We report the first attempt of a novel, minimally invasive technique for managing a case of benign colouterine fistula with single-incision laparoscopic (SIL) sigmoid colectomy and uterus preservation. A small, 3 cm incision site provided access for the whole operation, as well as played a role as the specimen extraction site. Malignant fistulas and large uterine defects may require hysterectomy, however, laparoscopic closure of uterine wall defects can be considered as a reasonable alternative in selected patients, avoiding the higher risks associated with hysterectomy and keeping fertility at younger ages. Single incision laparoscopy in complicated diverticular disease and fistula formation cases is a challenging but technically feasible option, in experienced hands.

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“…Although surgical treatment depends on the extent of the primary tumor, the presence of the metastatic disease and the general condition of the patient, en-bloc resection of the fistulous tract with the primary tumor and fistula forming organs is the generally accepted modality [1][2][3][4][5][6]. The type of surgery may show some differences according to the localization of the tumor and the fistulous tract.…”

Section: Discussionmentioning

confidence: 99%

“…Although preoperative diagnosis of fistula formation may be difficult due to non-specific clinical presentation, it can be diagnosed readily by endoscopic and radiologic imaging of the gastrointestinal tract in selected patients [1,5]. Current treatment modality for such tumors includes en-bloc resection of the tumor and fistulous tract [2,4].…”

Section: Introductionmentioning

confidence: 99%

Diğer sindirim borusu bölümlerine fistül oluşturan Kolonik kanserler. Olgu serisi ve literatür derlemesi.

Kiliç¹,

Hasbahçeci²,

Ali̇moğlu³

et al. 2016

Archives of Clinical and Experimental Medicine

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Background: Occurrence of enteric fistulas caused by colon cancer is a rare. Preoperative diagnosis has some difficulty because of non-specific presentation and lack of appropriate combination of diagnostic techniques. Methods: From November 2008 to April 2012, patients with entero-enteric fistulas caused by colon cancer were reviewed with regard to demographic variables, clinical presentation, diagnostic evaluation, intraoperative findings, type of surgical procedure and pathologic examination. Results: There were four (3.92%) fistulas caused by colon cancer among 102 patients with adenocarcinoma of the colon. Fistulas were one colo-duodenal, one colo-gastric, one ceco-sigmoidal and one sigmoido-rectal in patients with a mean age 56.5 years. Presence of fistulas was not diagnosed preoperatively in any of the patients by using standard diagnostic techniques, i.e., endoscopy and computed tomography. Complete resection of tumor with tract of fistula was performed in all patients. Mean duration of follow-up period was 12.25 months, liver metastasis was detected in one patient, entero-cutaneous fistula in one. Conclusions: Malignant fistula formation caused by colon cancers is a rare event. Preoperative diagnosis could be achieved by using a combination of barium enema or meal and endoscopy. Surgical treatment via oncologic en-bloc resection with negative microscopic margins is important for long-term survival. ÖzGiriş: Kolon kanserinin sebep olduğu enterik fistüller nadir görülür. Ameliyat öncesi tanı, spesifik olmayan sunum ve uygun tanı teknikleri kombinasyonu bulunmaması nedeniyle bir miktar zorluk çekmektedir. Yöntemler: Kasım 2008 -Nisan 2012 arasında demografik değişkenler, klinik tablo, tanı değerlendirme, intraoperatif bulgular, cerrahi girişim tipi ve patolojik inceleme açısından entero-enterik fistüllü hastalar gözden geçirildi. Bulgular: Kolon adenokarsinomalı 102 hasta içinde kolon kanserine bağlı dört fistül vardı (%3.92). Yaş ortalaması 56.5 olan hastalarda bir kolo-duodenal, bir kolo-gastrik, bir ceco-sigmoidal ve bir sigmoid-rektal fistül görüldü. Fistüllerin varlığı, standart tanı teknikleri, yani endoskopi ve bilgisayarlı tomografi kullanılarak preoperatif olarak teşhis edilemedi. Bütün hastalarda tümör-fistül dokusu rezeksiyonu yapıldı. İzlem süresi ortalama 12.25 ay, bir hastada karaciğer metastazı, bir hastada entero-kutanöz fistül saptandı. Sonuçlar: Kolon kanserlerinden kaynaklanan malign fistül oluşumu nadir görülen bir olaydır. Ameliyat öncesi tanı, baryum lavman veya yemek ve endoskopi kombinasyonu kullanılarak başarılabilir. Onkolojik en

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En bloc resection for malignant colouterine fistula

Cited by 7 publications

References 4 publications

A case of pyometra with a colouterine fistula due to rectal cancer presenting as acute abdomen

A case of pyometra with a colouterine fistula due to rectal cancer presenting as acute abdomen

Single-incision laparoscopic (SIL) sigmoid colectomy and uterus-preserving repair for colo-uterine fistula secondary to severe diverticular disease: an unusual technical solution for an unusual presentation of a common disease

Diğer sindirim borusu bölümlerine fistül oluşturan Kolonik kanserler. Olgu serisi ve literatür derlemesi.

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