[Fibrin glue sealant for management of seminal vesicle-rectal fistula : a case report].

Abstract

A 56- year-old man underwent a laparoscopic low anterior resection for rectal cancer (cT3bN0M0). Postoperatively, he was fairly well and started oral intake on postoperative day (POD) 9. On POD 14, he had an uncomfortable feeling during urination and noticed pneumaturia, and urinalysis revealed hematopyuria. Abdominal computed tomography (CT) showed air collection in the left seminal vesicle and bladder, and colonoscopy demonstrated a fistula at the anastomotic site. Abdominal CT following the fistulography under colonoscopy demonstrated fistulous communication between the rectum and left seminal vesicle. Under the diagnosis of seminal vesicle-rectal fistula, the patient was successfully treated by filling the fistula with fibrin glue by colonoscopy. No obvious recurrence of the fistula has been observed for 6 months after the treatment.

• Authors: Tetsuji Soda, Hiroshi Kiuchi, Yoichi Kakuta, Yasutomo Nakai, Tsunekazu Mizushima, Akira Tsujimura, Norio Nonomura
• Journal: Hinyokika kiyo. Acta urologica Japonica (Hinyokika Kiyo) Vol. 59 Issue 12 Pg. 795-8 (Dec 2013) ISSN: 0018-1994 [Print] Japan
• PMID: 24419012 (Publication Type: Case Reports, English Abstract, Journal Article)

Chemical References

• Fibrin Tissue Adhesive

Topics

• Fibrin Tissue Adhesive (therapeutic use)
• Fistula (therapy)
• Humans
• Male
• Middle Aged
• Postoperative Complications
• Rectal Fistula (therapy)
• Rectal Neoplasms (surgery)
• Seminal Vesicles