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Techniques in Coloproctology May 2022
Topics: Anal Canal; Humans; Rectal Fistula; Treatment Outcome
PubMed: 35353253
DOI: 10.1007/s10151-022-02615-y -
In Vivo (Athens, Greece) 2021Colorectal cancer is the second most common cause of cancer-related death worldwide. It is well-known that metasta sis to the liver and lung and local recurrences can...
BACKGROUND
Colorectal cancer is the second most common cause of cancer-related death worldwide. It is well-known that metasta sis to the liver and lung and local recurrences can occur. Additionally, colorectal cancer occasionally metastasizes to other sites. Only a few reports of such metastases have been published and no definitive therapeutic strategies have been proposed for them.
CASE REPORT
The case of a 77-year-old man who was diagnosed with rectal cancer is presented. Eighteen months after curative laparoscopic low anterior resection and D3 lymph node resection, an anal fistula metastasis was diagnosed by computed tomography and biopsy. After administering radiotherapy, percutaneous excision of the lesion. was performed. At 21 months from the surgery, the patient is healthy and no recurrence has been found.
CONCLUSION
Metachronous metastasis of a colorectal cancer to an anal fistula is rare. Careful investigation and optimal treatment can result in a disease-free status.
Topics: Aged; Anus Neoplasms; Humans; Laparoscopy; Male; Neoplasm Recurrence, Local; Rectal Fistula; Rectal Neoplasms
PubMed: 34410990
DOI: 10.21873/invivo.12585 -
The British Journal of Surgery Mar 1992Anal fistula is a common cause of chronic irritation to both patients and surgeons. Treatment failure rates may be decreased by a good appreciation of normal anorectal... (Review)
Review
Anal fistula is a common cause of chronic irritation to both patients and surgeons. Treatment failure rates may be decreased by a good appreciation of normal anorectal anatomy and fistula pathoanatomy, as well as a wide and practical knowledge of the possible treatment regimens. The various treatment options available for acute abscesses as well as simple and complex anal fistulae are presented and discussed. Identification of the patient at risk of postoperative anal incontinence or of the difficult or high fistula may allow treatment in a specialized proctology unit.
Topics: Abscess; Acute Disease; Chronic Disease; Humans; Rectal Diseases; Rectal Fistula
PubMed: 1555083
DOI: 10.1002/bjs.1800790304 -
Journal of the American Animal Hospital... Nov 2022A 7 mo old intact male Australian cattle dog presented for evaluation of a suspected urethrorectal fistula after being examined by the primary veterinarian for leaking...
A 7 mo old intact male Australian cattle dog presented for evaluation of a suspected urethrorectal fistula after being examined by the primary veterinarian for leaking of urine from the rectum at rest and when posturing to urinate. Advanced imaging identified a caudally retroflexed urinary bladder, several healing pelvic fractures, and a rectovesicular fistula. Primary surgical repair of the fistula was performed. The dog recovered well from surgery and was urinating and defecating normally as of 5 mo after the operation. This is the first report of a traumatic rectovesicular fistula in the veterinary literature.
Topics: Cattle; Dogs; Male; Animals; Dog Diseases; Australia; Urinary Fistula; Urethral Diseases; Rectal Fistula; Fractures, Bone; Cattle Diseases
PubMed: 36315863
DOI: 10.5326/JAAHA-MS-7191 -
Clinics in Gastroenterology Sep 1975
Comparative Study
Topics: Abscess; Anal Canal; Crohn Disease; Female; Humans; Male; Postoperative Care; Rectal Fistula; Rectum
PubMed: 1183066
DOI: No ID Found -
The Australian and New Zealand Journal... Nov 1999
Topics: Colorectal Neoplasms; Humans; Rectal Fistula
PubMed: 10553963
DOI: 10.1046/j.1440-1622.1999.01692.x -
Journal of Gastrointestinal Surgery :... Dec 2022
Topics: Humans; Male; Rectal Fistula; Prostatectomy
PubMed: 36050620
DOI: 10.1007/s11605-022-05449-z -
Asian Journal of Surgery Oct 2023
Topics: Humans; Anus Neoplasms; Rectal Fistula; Anal Canal; Treatment Outcome
PubMed: 37344312
DOI: 10.1016/j.asjsur.2023.05.085 -
Gastroenterologie Clinique Et Biologique Jan 2010
Review
Topics: Anti-Bacterial Agents; Diagnosis, Differential; Digestive System Surgical Procedures; Endosonography; Humans; Magnetic Resonance Imaging; Rectal Fistula
PubMed: 20004071
DOI: 10.1016/j.gcb.2009.10.014 -
Current Opinion in Urology Mar 2016This article discusses etiologic considerations, evaluation, and contemporary approaches to managing rectourethral fistula (RUF) with particular emphasis on geriatric... (Review)
Review
PURPOSE OF REVIEW
This article discusses etiologic considerations, evaluation, and contemporary approaches to managing rectourethral fistula (RUF) with particular emphasis on geriatric patients.
RECENT FINDINGS
With the advent of multimodal approaches to treating prostate cancer, such as radiation and ablative therapies, the incidence of RUF is increasing, especially in the geriatric population. Surgical repair and healing of RUF in patients with prior radiation is more challenging than in those without prior radiation or ablation because of fibrotic and ischemic changes in surrounding tissues. There is, at present, a lack of consensus over a standardized approach to RUF management because of the heterogeneity in presentation and limited, primarily retrospective, experience in the literature. Nonetheless, an evolving array of surgical approaches now exists for fistula excision and tissue interposition.
SUMMARY
Immediate recognition and management of RUF is paramount to prevent related complications. Patient selection and counseling are key to selecting the best approach for repair, whereas a multidisciplinary team, including colorectal and plastic surgery colleagues, may optimize outcomes.
Topics: Aged; Humans; Iatrogenic Disease; Rectal Fistula; Urinary Fistula
PubMed: 26716565
DOI: 10.1097/MOU.0000000000000263