Foba M L, Fall S M A, Ritz F J Tchoungui, Sine B, Beye M, Sankalé A A
Plastic and Reconstructive Surgery, UCAD, Dakar, Senegal.
Heinrich Lubke Hospital, Diourbel, Senegal.
Int J Surg Case Rep. 2024 Dec;125:110564. doi: 10.1016/j.ijscr.2024.110564. Epub 2024 Nov 4.
A urethro-rectal fistula is an abnormal communication between the urethra and the rectum. It is a rare entity. It is most often an iatrogenic lesion during prostate surgery. We present here the case of a post-traumatic urethro-rectal fistula secondary to a road accident. Surgical cure was via a perineal approach with gracilis flap interposition.
This is a 15-year-old patient who consulted for a urethro-cutaneous fistula. Retrograde urethrography (RUG) with voiding cystourethrography (VCUG) showed a urethro-rectal fistula, with contrast leakage and opacification of the rectum. The fistula was cured using an anterior perineal approach with interposition of a gracilis flap. The post-operative course was uneventful.
Urethro-rectal fistula is a rare entity and most often iatrogenic. Due to the rarity of this entity, the literature concerning its description, and its treatment is poor. Tailored approach should be considered for each patient. The use of gracilis flap interposition is describe as a good technique for managing urethro-rectal fistulas.
Urethro-rectal fistula is a rare pathology, especially when it occurs following a road accident. Perineal cure with gracilis flap interposition appears to be a reliable technique.
尿道直肠瘘是尿道与直肠之间的异常通道。这是一种罕见的病症。它最常是前列腺手术过程中的医源性损伤。我们在此呈现一例道路交通事故继发的创伤后尿道直肠瘘病例。手术治疗通过会阴入路并置入股薄肌瓣。
这是一名15岁因尿道皮肤瘘前来就诊的患者。逆行尿道造影（RUG）联合排尿性膀胱尿道造影（VCUG）显示存在尿道直肠瘘，造影剂漏出且直肠显影。通过会阴前路置入股薄肌瓣治愈了瘘管。术后过程顺利。
尿道直肠瘘是一种罕见病症，且大多是医源性的。由于该病症罕见，关于其描述及治疗的文献较少。应针对每位患者考虑采用个性化的治疗方法。使用股薄肌瓣置入被描述为治疗尿道直肠瘘的一种良好技术。
尿道直肠瘘是一种罕见的病理情况，尤其是在道路交通事故后发生时。采用会阴入路并置入股薄肌瓣的治疗方法似乎是一种可靠的技术。
