A Case of Seminal Vesicle-rectal Fistula Occurred after Surgery for Rectal Cancer

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  • 直腸癌術後に発症した直腸精囊瘻の1例
  • チョクチョウ ガン ジュツゴ ニ ハッショウ シタ チョクチョウセイノウロウ ノ 1レイ

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Abstract

<p>The patient was a 68-year-old man who underwent laparoscopic low anterior resection of the rectum for Ra rectal cancer. The pathological diagnosis was pT3 (SS) N2aM0 pStage IIIb. His postoperative course was uneventful, and oral ingestion was started on the 6th postoperative day (POD). On the 14th POD, all drains were removed. On the next day, he developed high fever and pneumaturia. Close examination clarified a seminal vesicle-rectal fistula. Management with fasting and high-caloric infusion was started, and on the 65th POD, we could confirm the seminal vesicle-rectal fistula to have closed. Seminal vesicle-rectal fistula is a relatively rare complication after rectal resection. Due to its rarity and successful conservative therapy that we used, we present the case, together with a review of the literature.</p>

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