Steinstraesser Lars, Sand Michael, Langer Stefan, Muhr Gert, Schildhauer Thomas A, Steinau Hans-Ulrich
Department of Plastic Surgery, Burn Center, Ruhr-University Bochum, Bergmannsheil, Bochum, Germany.
World J Surg Oncol. 2008 Nov 11;6:121. doi: 10.1186/1477-7819-6-121.
Primary sacral tumors are rare and experience related to accompanying effects of these tumors is therefore limited to observations on a small number of patients.
In this case report we present a patient with a history of primary sacral chondrosarcoma, an infection of an implanted spinal stabilization device and discuss the challenges that resulted from a colonic fistula associated with large, life threatening abscesses as late complications of radiotherapy.
In patients with sacral tumors enterocutaneous fistulas after free musculotaneous free flaps transfer are rare and can occur in the setting of surgical damage followed by radiotherapy or advanced disease. They are associated with prolonged morbidity and high mortality. Identification of high-risk patients and management of fistulas at an early stage may delay the need for subsequent therapy and decrease morbidity.
原发性骶骨肿瘤罕见，因此关于这些肿瘤伴随影响的经验仅限于对少数患者的观察。
在本病例报告中，我们介绍了一名有原发性骶骨软骨肉瘤病史、植入的脊柱稳定装置感染的患者，并讨论了作为放疗晚期并发症的与巨大、危及生命的脓肿相关的结肠瘘所带来的挑战。
在骶骨肿瘤患者中，游离肌皮瓣转移术后肠皮肤瘘罕见，可发生在手术损伤后继发放疗或晚期疾病的情况下。它们与延长的发病率和高死亡率相关。识别高危患者并早期处理瘘管可能会延迟后续治疗的需求并降低发病率。
