Delayed Coloanal Anastomosis for rectovaginal fistula after colorectal resection for deep endometriosis

Roberta Tutino, Roberta Tutino, Gaetano Gallo, Mario Trompetto, Roberta Tutino, Mario Trompetto, Alberto Realis Luc, Giuseppe Clerico, Alberto Realis Luc, Mario Trompetto

Risultato della ricerca: Articlepeer review

Abstract

The deep infiltrating endometriosis, defined as a subperitoneal infiltration of endometrial implants of ≥ 5 mm involving not only the colorectal tract but also rectovaginal septum, vagina and bladder often requires a challenging surgery. Endometriosis nodes of the rectovaginal septum, if symptomatic, need a resection of the involved colorectal tract with colorectal or coloanal anastomosis. Unfortunately in these cases is not uncommon the possibility of a postoperative rectovaginal fistula (RVF), caused by the weakness of the septum that must be skeletonized to completely remove the endometriosis nodes. Here we present a case of anastomotic leakage with high RVF after colorectal resection and low colorectal anastomosis for deep endometriosis in which, for a chronic pelvic sepsis and a high risk of failure of a new immediate coloanal anastomosis, a Turnbull-Cutait pull-through with delayed coloanal anastomosis (DCAA) has been performed.
Lingua originaleEnglish
Numero di pagine0
RivistaANNALI ITALIANI DI CHIRURGIA
Volume87
Stato di pubblicazionePublished - 2016

All Science Journal Classification (ASJC) codes

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