Iliaco-enteric fistula after robot-assisted comprehensive surgical staging of endometrial cancer: a case report.
Adenocarcinoma
/ surgery
Aged
Diagnosis, Differential
Endometrial Neoplasms
/ surgery
Endovascular Procedures
Female
Gastrointestinal Hemorrhage
Humans
Hysterectomy
/ methods
Iliac Aneurysm
/ diagnostic imaging
Iliac Artery
/ diagnostic imaging
Intestinal Fistula
/ diagnostic imaging
Intestine, Small
/ diagnostic imaging
Laparotomy
Lymph Node Excision
/ methods
Ovariectomy
/ methods
Postoperative Complications
/ surgery
Robotic Surgical Procedures
/ methods
Tomography, X-Ray Computed
Vascular Fistula
/ diagnostic imaging
Endometrial cancer
Hematochezia
Iliac artery pseudoaneurysm
Iliaco-enteric fistula
Lymphadenectomy
Journal
Journal of robotic surgery
ISSN: 1863-2491
Titre abrégé: J Robot Surg
Pays: England
ID NLM: 101300401
Informations de publication
Date de publication:
Apr 2019
Apr 2019
Historique:
received:
13
06
2018
accepted:
17
08
2018
pubmed:
22
8
2018
medline:
11
7
2019
entrez:
22
8
2018
Statut:
ppublish
Résumé
Fistula formation between bowel and blood-vessel is a very rare complication after intraabdominal surgery. We report a case of iliaco-enteric fistula following robot-assisted surgical staging of endometrial cancer. A 71-year-old woman subjected to comprehensive endometrial cancer staging presented with hematochezia 35 days postoperatively. A retroperitoneal right-sided abscess and an iliaco-enteric fistula was confirmed upon imaging. The patient received endovascular repair of the aneurysm in her right common iliac artery and the segments of the small bowel containing the fistula were resected via laparotomy. If a patient presents with new onset postoperative hematochezia after pelvic and/or paraaortic lymphadenectomy, fistulation between bowel and the major abdominal blood vessels should be part of the differential diagnoses.
Identifiants
pubmed: 30128929
doi: 10.1007/s11701-018-0864-8
pii: 10.1007/s11701-018-0864-8
pmc: PMC6424949
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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