Tramontano Salvatore, Iacone Biancamaria, Parrella Valentina, Gargiulo Antonio, Tedesco Anna, Bracale Umberto
Department of Physics, University of Salerno, Salerno, Italy.
Department of General and Emergency Surgery, Ospedali Riuniti San Giovanni di Dio e Ruggi d'Aragona, Salerno, Italy.
Front Oncol. 2025 Jun 11;15:1549485. doi: 10.3389/fonc.2025.1549485. eCollection 2025.
The ureterocolic fistula (UF) can be a rare but serious complication of abdomino-pelvic surgery, gynecological procedures, oncological or inflammatory conditions and, especially in colorectal surgery, it can be due to anastomotic leaks or iatrogenic injuries of the ureter. Treatment is multidisciplinary, often involving endoscopic urological procedures or surgery, when necessary. We present a case of an UF following laparoscopic anterior resection for sigmoid cancer Some peculiar topics, like an early clinical presentation and a rapid resolution with adequate approach, are very interesting and offer good example for suspicion of UF and management. Our patient presented fever and watery diarrhea in 12 POD. CT scan was positive for contrast leakage between the third-low of the left ureter and the rectum. Fistula solved with endoscopic and percutaneous approach, with no need of surgical treatment, thanks to multidisciplinary approach and early treatment.
输尿管结肠瘘（UF）可能是腹部盆腔手术、妇科手术、肿瘤或炎症性疾病罕见但严重的并发症，尤其是在结直肠手术中，它可能是由于输尿管吻合口漏或医源性损伤所致。治疗是多学科的，必要时通常涉及内镜泌尿外科手术或外科手术。我们报告一例乙状结肠癌腹腔镜前切除术后发生输尿管结肠瘘的病例。一些特殊情况，如早期临床表现以及通过适当方法快速治愈，非常有趣，为输尿管结肠瘘的诊断和处理提供了很好的范例。我们的患者在术后第12天出现发热和水样腹泻。CT扫描显示左输尿管下段与直肠之间有造影剂渗漏。由于多学科方法和早期治疗，通过内镜和经皮方法解决了瘘管问题，无需手术治疗。
