Goldman H S, Sapkin S L, Foote R F, Taylor J B
Department of Surgery, Motion Picture and Television Hospital, Woodland Hills, California.
Dis Colon Rectum. 1989 Jan;32(1):67-9. doi: 10.1007/BF02554729.
A previously unreported complication of low anterior resection of the rectum, seminal vesicle-rectal fistula, was encountered one month after surgery in an elderly patient with adenocarcinoma of the midrectum. Antibiotic-induced colitis in the immediate postoperative period led to anastomotic leakage with abscess formation and ensuing fistulization to the surgically denuded right seminal vesicle. Pneumaturia, bacteriuria, and right testicular pain were treated by cutaneous vasostomy and antimicrobial therapy. Despite recurrent low-grade urinary sepsis controlled by alternating courses of various antimicrobials, and radiation therapy for local tumor recurrence, the patient remained reasonably healthy until his death two years later due to stroke associated with cerebral metastases.
一名患有中直肠癌的老年患者在直肠前切除术后一个月出现了一种此前未报道过的并发症——精囊直肠瘘。术后早期抗生素诱发的结肠炎导致吻合口漏合并脓肿形成，并继而向手术剥脱的右侧精囊形成瘘管。气尿、菌尿和右侧睾丸疼痛通过皮肤造口术和抗菌治疗进行处理。尽管通过交替使用各种抗菌药物控制了复发性轻度尿源性败血症，并对局部肿瘤复发进行了放射治疗，但患者在两年后因与脑转移相关的中风去世前一直保持相对健康。
