Enterovaginal and colovesical fistulas as late complications of pelvic radiotherapy

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1 Citation (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)166-169
Number of pages4
JournalJournal of General and Family Medicine
Volume19
Issue number5
DOIs
Publication statusPublished - Sep 2018

Keywords

  • colovesical fistula
  • enterovaginal fistula
  • gastrointestinal fistula
  • radiation-related complications
  • urinary tract infection

ASJC Scopus subject areas

  • Family Practice
  • Geriatrics and Gerontology
  • Internal Medicine

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