1.
Seminal vesicle-rectal fistula secondary to anastomotic leakage after low anterior resection for rectal cancer: a case report and brief literature review.
Kitazawa, M, Hiraguri, M, Maeda, C, Yoshiki, M, Horigome, N, Kaneko, G
International surgery. 2014;(1):23-7
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Abstract
We report a case of a patient with seminal vesicle-rectal fistula, an extremely rare complication of low anterior resection of the rectum. A 53-year-old man with rectal adenocarcinoma underwent low anterior resection in our hospital. The patient experienced diarrhea, pneumaturia, and low-grade fever on postoperative day 13. A computed tomography scan showed emphysema in the right seminal vesicle. We concluded that anastomotic leakage induced a seminal vesicle-rectal fistula. The patient underwent conservative therapy with total parenteral nutrition and oral intake of metronidazole. Diarrhea and pneumaturia rapidly improved after metronidazole administration and the patient was successfully cured without invasive therapy such as colostomy or surgical drainage. A seminal vesicle-rectal fistula is a rare complication of low anterior resection, and therapeutic strategies for this condition remain elusive. Our report provides valuable information on the successful conservative treatment of a secondary seminal vesicle-rectal fistula that developed after low anterior resection of the rectum in a patient.
2.
Non-familial double malignancy of the colon and ampulla of Vater: a case report and review of literature.
Rajalingam, R, Javed, A, Gondal, R, Arora, A, Nag, HH, Agarwal, AK
Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association. 2012;(2):143-5
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Abstract
Apart from their association in familial and hereditary cancer syndromes, sporadic double malignancies of the gastrointestinal tract involving the ampulla of Vater and colon are extremely rare. Although synchronous resection of the two by adding a colectomy to a pancreaticoduodenctomy can be accomplished with minimal increase in the surgical morbidity, a few patients, however, are best managed by a staged resection. We report a case of sporadic double malignancy of the ampulla of Vater and right colon who despite the best attempts continued to bleed and remained malnourished and was successfully managed by staged right hemicolectomy followed by a pancreaticoduodenectomy.
3.
[Renal metastasis from prostatic adenocarcinoma : a case report].
Sakata, R, Iwasaki, A, Kobayashi, M, Osaka, K, Fujikawa, A, Tsuchiya, F, Ishizuka, E
Hinyokika kiyo. Acta urologica Japonica. 2011;(12):683-7
Abstract
We report a case of renal metastases from prostate cancer to show that the possibility of tumor metastasis, although rare, should be considered in the differential diagnosis of renal mass. A 67-year-old man was found to have a renal mass on computed tomographic scan incidentally. He had had total androgen blockage (bicalutamide + leuprolerin) and chemotherapy (docetaxel hydrate ) for treatment of prostate cancer discovered 33 months ago. On the basis of the clinical features and radiologic results, the patient was thought to have a second malignant tumor, and we performed left nephrectomy. The pathological finding of this case was renal metastasis from prostatic adenocarcinoma. He died 18 months postnephrectomy.
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[Cancer of an ectopic pancreas in the duodenal wall].
Abakar-Mahamat, A, Rahili, A, Saint-Paul, MC, Chevallier, P, Peroux, JL, Schneider, SM, Benchimol, D, Hébuterne, X
Gastroenterologie clinique et biologique. 2005;(2):201-3
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Abstract
Ectopic pancreas is defined as pancreatic tissue outside the normal location of the pancreas. It can be affected by the same complications as the orthotopic pancreas, such as adenocarcinoma. This extremely rare complication (only 14 published cases) may have a better prognosis that adenocarcinoma of an orthotopic pancreas. Endoscopic ultrasonography may be useful in the diagnosis of this disease. We report a case of malignancy of the duodenal wall originating in aberrant pancreatic tissue, and review the literature.