Arterial-enteric fistula after pelvic lymphadenectomy in secondary cytoreductive surgery for recurrent ovarian cancer.
Aged
Colon
/ surgery
Cytoreduction Surgical Procedures
Female
Fistula
/ etiology
Humans
Iliac Artery
/ surgery
Intestinal Fistula
/ etiology
Lymph Node Excision
/ adverse effects
Neoplasm Recurrence, Local
/ surgery
Ovarian Neoplasms
/ surgery
Postoperative Complications
/ etiology
Risk Factors
Tissue Adhesions
/ surgery
Arterial-enteric fistula
cytoreductive surgery
lymphadenectomy
ovarian cancer
post-operative complication
Journal
Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology
ISSN: 1364-6893
Titre abrégé: J Obstet Gynaecol
Pays: England
ID NLM: 8309140
Informations de publication
Date de publication:
Nov 2019
Nov 2019
Historique:
pubmed:
15
6
2019
medline:
23
2
2020
entrez:
15
6
2019
Statut:
ppublish
Résumé
In 6.2% of gynaecologic malignancies, vascular involvement is reported. Cytoreductive surgery presents in those cases a higher rate of major complications. Arterial-enteric fistula is a very rare post-surgical complication with serious repercussions on the patient's life due to intestinal haemorrhage and the overlapping sepsis. This is the first case report about iliac-colonic fistula formation in recurrent ovarian cancer with lymph-node metastasis after laparoscopic secondary cytoreductive surgery in a 75-year-old woman and its successful surgical management. A literature review about arterial-enteric fistula formation in gynaecologic cancer treatment, specifically ovarian cancer, is also reported, hypothesising the risk factors of this severe postoperative complication and possible surgical solutions.
Identifiants
pubmed: 31195870
doi: 10.1080/01443615.2019.1586856
doi:
Types de publication
Case Reports
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM