[A Case of Rectovaginal Fistula after Rectal Cancer Surgery Cured with Estriol Vaginal Tablet and Vaginal Lavage].

Abstract

Although rectovaginal fistula is a rare complication of rectal cancer surgery, it is usually difficult to cure with conservative treatment, and patients generally need surgical intervention. A woman in her 70s underwent laparoscopic low anterior resection with right lateral lymph node dissection for rectal cancer. On postoperative day(POD)6, she had an anastomotic leakage and received conservative treatment. On POD 9, she underwent emergent laparotomy for urinary peritonitis as well as ileostomy and ureteral stenting. On POD 21, the rectovaginal fistula was confirmed with lower gastrointestinal tract fluoroscopic examination. The patient received conservative therapy for the rectovaginal fistula with estriol vaginal tablets and vaginal lavage for 2 weeks. Subsequently, the fistula was completely cured. After continuation of the estriol vaginal tablets for 4 weeks, the rectovaginal fistula has not recurred at the most recent follow-up.

• Authors: Shotaro Fujita, Tomoyuki Momma, Eisei Endo, Koji Kase, Daisuke Ujiie, Hiroyuki Hanayama, Yohei Watanabe, Hirokazu Okayama, Wataru Sakamoto, Hisahito Endo, Motonobu Saito, Zenichiro Saze, Shinji Ohki, Koji Kono
• Journal: Gan to kagaku ryoho. Cancer & chemotherapy (Gan To Kagaku Ryoho) Vol. 46 Issue 13 Pg. 2078-2080 (Dec 2019) ISSN: 0385-0684 [Print] Japan
• PMID: 32157065 (Publication Type: Case Reports, Journal Article)

Chemical References

• Vaginal Creams, Foams, and Jellies
• Estriol

Topics

• Aged
• Digestive System Surgical Procedures (adverse effects)
• Estriol
• Female
• Humans
• Neoplasm Recurrence, Local
• Rectal Neoplasms (surgery)
• Rectovaginal Fistula (etiology)
• Vaginal Creams, Foams, and Jellies
• Vaginal Douching