期刊
JOURNAL OF GENERAL AND FAMILY MEDICINE
卷 19, 期 5, 页码 166-169出版社
WILEY
DOI: 10.1002/jgf2.184
关键词
colovesical fistula; enterovaginal fistula; gastrointestinal fistula; radiation-related complications; urinary tract infection
A 72-year-old Japanese woman presented with a fever, diarrhea, intermittent spotting, and constant fluid discharge from the vagina. Imaging studies revealed an enterovaginal fistula. She underwent radical hysterectomy and radiotherapy 35 years previously. She also had a surgical history of nephrostomy, nephrectomy, ileoascending anastomosis, and colostomy. As bleeding from the enterovaginal fistula was uncontrollable, ileocecal resection was performed. However, a colovesical fistula with urinary tract infection occurred 3 months later. The present case indicates that fistula formation occurs and causes various symptoms in patients who underwent postpelvic radiotherapy, particularly in those with prior surgeries in the irradiated field.
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