Kollmorgen T A, Kollmorgen C F, Lieber M M, Wolff B G
Department of Urology, Mayo Clinic, Rochester, Minnesota 55905.
Dis Colon Rectum. 1994 Dec;37(12):1325-7. doi: 10.1007/BF02257806.
Fistula formation between the seminal vesicles and a pelvic abscess after abdominal perineal resection for recurrent rectal cancer is reported in a 32-year-old male previously treated with low anterior resection, chemotherapy, and radiation.
The case history was reviewed for clinical presentation, radiologic studies, and laboratory data.
Successful management of this previously unreported complication included percutaneous abscess drainage, antimicrobial therapy, and oral administration of Proscar (Merck, Sharpe & Dohme, Rathway, NJ).
Multiple factors predisposed this patient's development of a seminal vesicle fistula. These include extensive scarring from previous surgery, pelvic radiation, and an immunologically depressed status. The efficacy of Proscar in the successful management of this case remains unknown.
报告一例32岁男性，既往接受过低位前切除术、化疗和放疗，在复发性直肠癌经腹会阴切除术后发生精囊与盆腔脓肿之间的瘘管形成。
回顾病例病史以获取临床表现、放射学检查和实验室数据。
成功处理这一此前未报告的并发症包括经皮脓肿引流、抗菌治疗以及口服保列治（默克公司，新泽西州拉威市）。
多种因素促使该患者发生精囊瘘。这些因素包括既往手术造成的广泛瘢痕、盆腔放疗以及免疫抑制状态。保列治在成功处理该病例中的疗效尚不清楚。
