Skip to main content
Top
Published in: Surgery Today 5/2013

01-05-2013 | Case Report

Rectoseminal vesicle fistula as a rare complication after low anterior resection: a report of three cases

Authors: Kentaro Nakajima, Masanori Sugito, Yuji Nishizawa, Masaaki Ito, Akihiko Kobayashi, Yusuke Nishizawa, Takanori Suzuki, Toshiyuki Tanaka, Toru Etsunaga, Norio Saito

Published in: Surgery Today | Issue 5/2013

Login to get access

Abstract

A rectoseminal vesicle fistula is a rare complication after a low anterior resection for rectal cancer, usually developing in the outpatient postoperative period with pneumaturia, fever, scrotal swelling or testicular pain. A diagnostic water-soluble contrast enema, cystography and computed tomography reveal a tract from the rectum to the seminal vesicle. Anastomotic leakage is thought to be partially responsible for the formation of such tracts. This report presents three cases of rectoseminal vesicle fistula, and the presumed course of the disease and optimal treatment options are discussed.
Literature
1.
go back to reference Hamidinia A. Recto-ejaculatory duct fistula: an unusual complication of Crohn’s disease. J Urol. 1984;131:123–4.PubMed Hamidinia A. Recto-ejaculatory duct fistula: an unusual complication of Crohn’s disease. J Urol. 1984;131:123–4.PubMed
2.
go back to reference LaSpina M, Facklis K, Posalski I, Fleshner P. Coloseminal vesicle fistula: report of a case and review of the literature. Dis Colon Rectum. 2006;49:1791–3.PubMedCrossRef LaSpina M, Facklis K, Posalski I, Fleshner P. Coloseminal vesicle fistula: report of a case and review of the literature. Dis Colon Rectum. 2006;49:1791–3.PubMedCrossRef
3.
go back to reference Izumi K, Takase Y, Kobayashi T, Tokunaga S, Namiki M. Seminal vesicle-rectal fistula with preceding right acute epididymitis. Urol Int. 2007;78:367–9.PubMedCrossRef Izumi K, Takase Y, Kobayashi T, Tokunaga S, Namiki M. Seminal vesicle-rectal fistula with preceding right acute epididymitis. Urol Int. 2007;78:367–9.PubMedCrossRef
4.
go back to reference Goldman HS, Sapkin SL, Foote RF, Taylor JB. Seminal vesicle-rectal fistula. Report of a case. Dis Colon Rectum. 1989;32:67–9.PubMedCrossRef Goldman HS, Sapkin SL, Foote RF, Taylor JB. Seminal vesicle-rectal fistula. Report of a case. Dis Colon Rectum. 1989;32:67–9.PubMedCrossRef
5.
go back to reference Kollmorgen TA, Kollmorgen CF, Lieber MM, Wolff BG. Seminal vesicle fistula following abdominoperineal resection for recurrent adenocarcinoma of the rectum. Report of a case. Dis Colon Rectum. 1994;37:1325–7.PubMedCrossRef Kollmorgen TA, Kollmorgen CF, Lieber MM, Wolff BG. Seminal vesicle fistula following abdominoperineal resection for recurrent adenocarcinoma of the rectum. Report of a case. Dis Colon Rectum. 1994;37:1325–7.PubMedCrossRef
6.
go back to reference Carlin J, Nicholson DA, Scott NA. Two cases of seminal vesicle fistula. Clin Radiol. 1999;54:309–11.PubMedCrossRef Carlin J, Nicholson DA, Scott NA. Two cases of seminal vesicle fistula. Clin Radiol. 1999;54:309–11.PubMedCrossRef
8.
go back to reference Celebrezze JP Jr, Medich DS. Rectal ulceration as a result of prostatic brachytherapy: a new clinical problem: report of three cases. Dis Colon Rectum. 2003;46:1277–9.PubMedCrossRef Celebrezze JP Jr, Medich DS. Rectal ulceration as a result of prostatic brachytherapy: a new clinical problem: report of three cases. Dis Colon Rectum. 2003;46:1277–9.PubMedCrossRef
9.
go back to reference Kawasaki S, Saito S, Hazama H, Tomioka H, Akamoto S, Okumoto T, et al. Seminal vesicle-rectal fistula secondary to anastomotic leakage after low anterior resection for rectal cancer: report of a case (in Japanese with English abstract). Nihon Syokakigeka Gakkaizasshi (Jpn J Gastroenterol Surg). 2008;41:1854–9.CrossRef Kawasaki S, Saito S, Hazama H, Tomioka H, Akamoto S, Okumoto T, et al. Seminal vesicle-rectal fistula secondary to anastomotic leakage after low anterior resection for rectal cancer: report of a case (in Japanese with English abstract). Nihon Syokakigeka Gakkaizasshi (Jpn J Gastroenterol Surg). 2008;41:1854–9.CrossRef
10.
go back to reference Heald RJ, Moran BJ, Brown G, Daniels IR. Optimal total mesorectal excision for rectal cancer is by dissection in front of Denonvilliers’ fascia. Br J Surg. 2004;91:121–3.PubMedCrossRef Heald RJ, Moran BJ, Brown G, Daniels IR. Optimal total mesorectal excision for rectal cancer is by dissection in front of Denonvilliers’ fascia. Br J Surg. 2004;91:121–3.PubMedCrossRef
11.
go back to reference Moritz E, Achleitner D, Holbling N, Miller K, Speil T, Weber F. Single vs. double stapling technique in colorectal surgery. A prospective randomized trial. Dis Colon Rectum. 1991;34:495–7.PubMedCrossRef Moritz E, Achleitner D, Holbling N, Miller K, Speil T, Weber F. Single vs. double stapling technique in colorectal surgery. A prospective randomized trial. Dis Colon Rectum. 1991;34:495–7.PubMedCrossRef
12.
go back to reference Baran JJ, Goldstein SD, Resnik AM. The double-staple technique in colorectal anastomoses: a critical review. Am Surg. 1992;58:270–2.PubMed Baran JJ, Goldstein SD, Resnik AM. The double-staple technique in colorectal anastomoses: a critical review. Am Surg. 1992;58:270–2.PubMed
13.
go back to reference Bozzetti F, Bertario L, Bombelli L, Fissi S, Bellomi M, Rossetti C, et al. Double versus single stapling technique in rectal anastomosis. Int J Colorectal Dis. 1992;7:31–4.PubMedCrossRef Bozzetti F, Bertario L, Bombelli L, Fissi S, Bellomi M, Rossetti C, et al. Double versus single stapling technique in rectal anastomosis. Int J Colorectal Dis. 1992;7:31–4.PubMedCrossRef
14.
go back to reference Griffen FD, Knight CD Sr, Knight CD Jr. Results of the double stapling procedure in pelvic surgery. World J Surg. 1992;16:866–71.PubMedCrossRef Griffen FD, Knight CD Sr, Knight CD Jr. Results of the double stapling procedure in pelvic surgery. World J Surg. 1992;16:866–71.PubMedCrossRef
15.
go back to reference Becciolini C, Schurter L, Metzger U. Anterior resection of the rectum by double stapling. Retrospective study of 100 consecutively operated patients. Helv Chir Acta. 1994;60:707–11.PubMed Becciolini C, Schurter L, Metzger U. Anterior resection of the rectum by double stapling. Retrospective study of 100 consecutively operated patients. Helv Chir Acta. 1994;60:707–11.PubMed
16.
go back to reference Koves I, Vamosi-Nagy I, Besznyak I. Dixon’s anastomosis with “double-stapling” technique: experience with 235 cases. Acta Chir Hung. 1994;34:139–49.PubMed Koves I, Vamosi-Nagy I, Besznyak I. Dixon’s anastomosis with “double-stapling” technique: experience with 235 cases. Acta Chir Hung. 1994;34:139–49.PubMed
17.
go back to reference Laxamana A, Solomon MJ, Cohen Z, Feinberg SM, Stern HS, McLeod RS. Long-term results of anterior resection using the double-stapling technique. Dis Colon Rectum. 1995;38:1246–50.PubMedCrossRef Laxamana A, Solomon MJ, Cohen Z, Feinberg SM, Stern HS, McLeod RS. Long-term results of anterior resection using the double-stapling technique. Dis Colon Rectum. 1995;38:1246–50.PubMedCrossRef
18.
go back to reference Chiarugi M, Buccianti P, Sidoti F, Franceschi M, Goletti O, Cavina E. Single and double stapled anastomoses in rectal cancer surgery; a retrospective study on the safety of the technique and its indication. Acta Chir Belg. 1996;96:31–6.PubMed Chiarugi M, Buccianti P, Sidoti F, Franceschi M, Goletti O, Cavina E. Single and double stapled anastomoses in rectal cancer surgery; a retrospective study on the safety of the technique and its indication. Acta Chir Belg. 1996;96:31–6.PubMed
19.
go back to reference Miller K, Moritz E. Circular stapling techniques for low anterior resection of rectal carcinoma. Hepatogastroenterology. 1996;43:823–31.PubMed Miller K, Moritz E. Circular stapling techniques for low anterior resection of rectal carcinoma. Hepatogastroenterology. 1996;43:823–31.PubMed
20.
go back to reference Vignali A, Fazio VW, Lavery IC, Milsom JW, Church JM, Hull TL, et al. Factors associated with the occurrence of leaks in stapled rectal anastomoses: a review of 1,014 patients. J Am Coll Surg. 1997;185:105–13.PubMed Vignali A, Fazio VW, Lavery IC, Milsom JW, Church JM, Hull TL, et al. Factors associated with the occurrence of leaks in stapled rectal anastomoses: a review of 1,014 patients. J Am Coll Surg. 1997;185:105–13.PubMed
21.
go back to reference Kosugi C, Saito N, Kimata Y, Ono M, Sugito M, Ito M, et al. Rectovaginal fistulas after rectal cancer surgery: incidence and operative repair by gluteal-fold flap repair. Surgery. 2005;137:329–36.PubMedCrossRef Kosugi C, Saito N, Kimata Y, Ono M, Sugito M, Ito M, et al. Rectovaginal fistulas after rectal cancer surgery: incidence and operative repair by gluteal-fold flap repair. Surgery. 2005;137:329–36.PubMedCrossRef
22.
go back to reference Arbman G. Rectovaginal fistulas and the double-stapling technique. Dis Colon Rectum. 1993;36:310–1.PubMedCrossRef Arbman G. Rectovaginal fistulas and the double-stapling technique. Dis Colon Rectum. 1993;36:310–1.PubMedCrossRef
23.
go back to reference Nakagoe T, Sawai T, Tuji T, Nanashima A, Yamaguchi H, Yasutake T, et al. Avoidance of rectovaginal fistula as a complication after low anterior resection for rectal cancer using a double-stapling technique. J Surg Oncol. 1999;71:196–7.PubMedCrossRef Nakagoe T, Sawai T, Tuji T, Nanashima A, Yamaguchi H, Yasutake T, et al. Avoidance of rectovaginal fistula as a complication after low anterior resection for rectal cancer using a double-stapling technique. J Surg Oncol. 1999;71:196–7.PubMedCrossRef
24.
go back to reference Wang L, Gu J. Risk factors for symptomatic anastomotic leakage after low anterior resection for rectal cancer with 30 Gy/10 f/2 w preoperative radiotherapy. World J Surg. 2010;34:1080–5.PubMedCrossRef Wang L, Gu J. Risk factors for symptomatic anastomotic leakage after low anterior resection for rectal cancer with 30 Gy/10 f/2 w preoperative radiotherapy. World J Surg. 2010;34:1080–5.PubMedCrossRef
25.
go back to reference Rullier E, Laurent C, Garrelon JL, Michel P, Saric J, Parneix M. Risk factors for anastomotic leakage after resection of rectal cancer. Br J Surg. 1998;85:355–8.PubMedCrossRef Rullier E, Laurent C, Garrelon JL, Michel P, Saric J, Parneix M. Risk factors for anastomotic leakage after resection of rectal cancer. Br J Surg. 1998;85:355–8.PubMedCrossRef
26.
go back to reference Lee MR, Hong CW, Yoon SN, Lim SB, Park KJ, Park JG. Risk factors for anastomotic leakage after resection for rectal cancer. Hepatogastroenterology. 2006;53:682–6.PubMed Lee MR, Hong CW, Yoon SN, Lim SB, Park KJ, Park JG. Risk factors for anastomotic leakage after resection for rectal cancer. Hepatogastroenterology. 2006;53:682–6.PubMed
27.
go back to reference Jestin P, Pahlman L, Gunnarsson U. Risk factors for anastomotic leakage after rectal cancer surgery: a case–control study. Colorectal Dis. 2008;10:715–21.PubMedCrossRef Jestin P, Pahlman L, Gunnarsson U. Risk factors for anastomotic leakage after rectal cancer surgery: a case–control study. Colorectal Dis. 2008;10:715–21.PubMedCrossRef
28.
go back to reference Lee L. Risk factors for anastomotic leakage after resection for rectal cancer. Am J Surg. 2009;198:461.PubMedCrossRef Lee L. Risk factors for anastomotic leakage after resection for rectal cancer. Am J Surg. 2009;198:461.PubMedCrossRef
29.
go back to reference Bertelsen CA, Andreasen AH, Jorgensen T, Harling H. Anastomotic leakage after anterior resection for rectal cancer: risk factors. Colorectal Dis. 2008;12:37–43.CrossRef Bertelsen CA, Andreasen AH, Jorgensen T, Harling H. Anastomotic leakage after anterior resection for rectal cancer: risk factors. Colorectal Dis. 2008;12:37–43.CrossRef
30.
go back to reference Wong NY, Eu KW. A defunctioning ileostomy does not prevent clinical anastomotic leak after a low anterior resection: a prospective, comparative study. Dis Colon Rectum. 2005;48:2076–9.PubMedCrossRef Wong NY, Eu KW. A defunctioning ileostomy does not prevent clinical anastomotic leak after a low anterior resection: a prospective, comparative study. Dis Colon Rectum. 2005;48:2076–9.PubMedCrossRef
31.
go back to reference Ulrich D, Roos J, Jakse G, Pallua N. Gracilis muscle interposition for the treatment of recto-urethral and rectovaginal fistulas: a retrospective analysis of 35 cases. J Plast Reconstr Aesthet Surg. 2009;62:352–6.PubMedCrossRef Ulrich D, Roos J, Jakse G, Pallua N. Gracilis muscle interposition for the treatment of recto-urethral and rectovaginal fistulas: a retrospective analysis of 35 cases. J Plast Reconstr Aesthet Surg. 2009;62:352–6.PubMedCrossRef
Metadata
Title
Rectoseminal vesicle fistula as a rare complication after low anterior resection: a report of three cases
Authors
Kentaro Nakajima
Masanori Sugito
Yuji Nishizawa
Masaaki Ito
Akihiko Kobayashi
Yusuke Nishizawa
Takanori Suzuki
Toshiyuki Tanaka
Toru Etsunaga
Norio Saito
Publication date
01-05-2013
Publisher
Springer Japan
Published in
Surgery Today / Issue 5/2013
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-012-0347-x

Other articles of this Issue 5/2013

Surgery Today 5/2013 Go to the issue