scholarly journals Surgical Treatment of Iatrogenic Rectourinary Fistula—York-Mason Technique—a Case Report

ISRN Urology ◽  
2011 ◽  
Vol 2011 ◽  
pp. 1-5
Author(s):  
Pedro Bargão Santos ◽  
Fernando Ferrito ◽  
Rocha Pires
Keyword(s):  
Case Report ◽  
Radical Prostatectomy ◽  
Rare Complication ◽  
Contrast Enema ◽  
Urinary Fistula ◽  
Minimal Morbidity ◽  
Spontaneous Cure ◽  
Transsphincteric Approach ◽  
Urinary Fistulas ◽  
Rectourinary Fistula

Introduction. Recto-urinary fistulas resulting from trauma or surgery are a serious and debilitating complication. They represent a challenge not only because of the difficulty on choosing the best technique to solve them but also because of the risk of recurrence. Spontaneous cure is rare. Materials and Methods. We describe the case of a 61-years-old man that on the 9th postoperative day of a laparoscopic radical prostatectomy (LRP) started with fecaluria and liquid faeces. Recto-urinary fistula was confirmed at the 10th postoperative day by CT scan and contrast enema. Discussion. We chose the York-Mason technique, because it is simple to perform, effective and has minimal morbidity. This is a posterior, transrectal, and transsphincteric approach, carried out on healthy tissues without previous scarring phenomena. Results. The postoperative period progressed without complications, and the patient discharged on the 4th day. The closure of the fistula was confirmed radiologically by retrograde cystography after 4 weeks allowing the removal of drainage catheter. The reconstruction of intestinal transit was carried out 2 months later. Conclusion. The York-Mason technique, a transrectal and transsphincteric approach with minimal morbidity, proved to be effective on the resolution of the recto-urinary fistula, a rare complication of the radical prostatectomy.

scholarly journals Robotic prostatectomy leading to a delayed MRSA infected lymphocele: a case report and review of the literature

2017 ◽  
Vol 10 (1) ◽  
pp. 23-27
Author(s):  
Monica Kaminski ◽  
Rose Recco ◽  
Steven Siegel
Keyword(s):  
Case Report ◽  
Radical Prostatectomy ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Rare Complication ◽  
Fluid Collection ◽  
Unknown Origin ◽  
Robotic Prostatectomy ◽  
Post Procedure ◽  
The Usa ◽  
Localized Disease

Prostate cancer is the second leading cancer-related cause of death in the USA with the majority presenting as localized disease. In the last decade minimally invasive, robotic-assisted laparascopic, radical prostatectomy has become the most favored treatment choice. A complication that has been observed in 27% of patients is the formation of an asymptomatic lymphocele. It is a very rare complication for these to become infected, and when they do 80% have occurred 2–12 months post-procedure. In this case report the patient presented with fever and leukocytosis of unknown origin and was found to have a methicillin-resistant Staphylococcus aureus (MRSA) infected lymphocele over 2 years after a radical prostatectomy. The infected fluid collection was drained percutaneously and the patient was treated with a 4-week course of intravenous ceftaroline with complete resolution of symptoms.

scholarly journals Prostatosymphyseal Fistula Treated by Robotic Assisted Radical Prostatectomy

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Lucy Whelan ◽  
Emma Mullarkey ◽  
Henry H. Woo
Keyword(s):  
Case Report ◽  
Radical Prostatectomy ◽  
Successful Treatment ◽  
Rare Complication ◽  
Benign Prostatic Obstruction ◽  
Macroscopic Haematuria ◽  
Robotic Assisted ◽  
Greenlight Laser ◽  
Robotic Assisted Radical Prostatectomy

This case report documents a rare complication of prostate resection following a Greenlight laser procedure. The 75-year-old gentleman involved underwent photoselective vaporisation of the prostate (PVP) for clinically benign prostatic obstruction. Subsequent to PVP, the patient experienced recurrent macroscopic haematuria and pubic pain. Investigations confirmed the presence of a prostate-symphyseal fistula, a rare complication of PVP. We believe this to be the first reported case of successful treatment with robotic assisted radical prostatectomy.

A case report on management of a rare complication of abdominal sling surgerypresacral venous bleeding

2019 ◽  
Vol 10 (2) ◽  
pp. 19-21
Author(s):  
Shirish S Dulewad ◽  
◽  
Pooja Chandak ◽  
Madhura Pophalkar ◽  
◽  
...  
Keyword(s):  
Case Report ◽  
Rare Complication ◽  
Venous Bleeding

scholarly journals Salvage robot-assisted radical prostatectomy after carbon ion radiotherapy: a case report

2021 ◽  
Author(s):  
Hiroki Kobayashi ◽  
Satoshi Kobayashi ◽  
Masaki Shiota ◽  
Dai Takamatsu ◽  
Tatsuro Abe ◽  
...  
Keyword(s):  
Case Report ◽  
Radical Prostatectomy ◽  
Carbon Ion Radiotherapy ◽  
Robot Assisted ◽  
Carbon Ion

scholarly journals A227 UMBILICAL HERNIA INCARCERATION IN LIVER CIRRHOSIS: A RARE COMPLICATION OF PARACENTESIS

2021 ◽  
Vol 4 (Supplement_1) ◽  
pp. 263-265
Author(s):  
A LAGROTTERIA ◽  
A Aruljothy ◽  
K Tsoi
Keyword(s):  
Liver Cirrhosis ◽  
Abdominal Pain ◽  
Case Report ◽  
Small Bowel ◽  
Large Volume ◽  
Umbilical Hernia ◽  
Rare Complication ◽  
Abdominal Wall Hernia ◽  
Refractory Ascites ◽  
Large Volume Paracentesis

Abstract Background Patients with decompensated liver cirrhosis with ascites frequently have umbilical hernias with a prevalence of 20% and are managed with large volume paracentesis (LVP). Common complications of LVP include hemorrhage, infection, and bowel perforation that occur infrequently with a frequency of less than 1%. However, incarceration of umbilical hernias has been reported as a rare complication of LVP and is speculated to be from ascitic fluid decompression that reduces the umbilical hernia ring diameter resulting in entrapment of the hernia sac. It is unclear whether the quantity or the fluid removal rate increases the herniation risk. Based on case series, this rare complication occurs within 48 hours of the LVP and requires emergent surgical repair and involves a high risk of morbidity and mortality due to potential infection, bleeding, and poor wound healing. Aims We describe a case report of an incarcerated umbilical hernia following a bedside large-volume paracentesis. Methods Case report Results A 59-year-old Caucasian male presented to the emergency department with a 24-hour history of acute abdominal pain following his outpatient LVP. His medical history included Child-Pugh class C alcoholic liver cirrhosis with refractory ascites managed with biweekly outpatient LVP and a reducible umbilical hernia. He reported the onset of his abdominal pain 2-hours after his LVP with an inability to reduce his umbilical hernia. Seven liters of clear, straw-coloured asitic fluid was drained. Laboratory values at presentation revealed a hemoglobin of 139 g/L, leukocyte count of 4.9 x109 /L, platelet count of 110 xo 109 /L, and a lactate of 2.7 mmol/L His physical exam demonstrated an irreducible 4 cm umbilical hernia and bulging flanks with a positive fluid wave test. Abdominal computed tomography showed a small bowel obstruction due to herniation of a proximal ileal loop into the anterior abdominal wall hernia, with afferent loop dilation measuring up to 3.4 cm. He was evaluated by the General Surgery consultation service and underwent an emergent laparoscopic hernia repair. There was 5 cm of small bowel noted to be ecchymotic but viable, with no devitalized tissue. He tolerated the surgical intervention with no post-operative complications and was discharged home. Conclusions Ultrasound-guided bedside paracentesis is a common procedure used in the management of refractory ascites and abdominal wall hernia incarceration should be recognized as a potential rare complication. To prevent hernia incarceration, patients with liver cirrhosis should be examined closely for hernias and an attempt should be made for external reduction prior to LVP. A high index of suspicion for this potential life-threatening condition should be had in patients who present with symptoms of bowel obstruction following a LVP. Funding Agencies None

scholarly journals A case report of colouterine fistula due to colonic diverticulitis: a rare complication

2020 ◽  
Vol 51 (1) ◽  
Author(s):  
Shweta Pandey ◽  
Saurabh Maheshwari ◽  
Uddandam Rajesh ◽  
Darshan Singh Grewal ◽  
Vibhuti Maria
Keyword(s):  
Case Report ◽  
Rare Complication ◽  
Colonic Diverticulitis ◽  
Colouterine Fistula

scholarly journals Intraocular Lens Dislocation after Cataract Surgery in Tambolaka, Southwest Sumba, Indonesia: A Case Report

2018 ◽  
Vol 9 (1) ◽  
pp. 179-184
Author(s):  
Ratna Sitompul
Keyword(s):  
Case Report ◽  
Intraocular Lens ◽  
Rural Areas ◽  
Rare Complication ◽  
Cataract Extraction ◽  
Factors Affecting ◽  
Intraocular Lens Dislocation ◽  
Post Surgery ◽  
The Right ◽  
Iol Dislocation

Intraocular lens (IOL) dislocation is a rare complication of cataract extraction requiring prompt surgery. This case report aims to raise awareness of such cases and the importance of post-surgery follow-up. A 58-year-old female patient was found with anterior IOL dislocation a week after phacoemulsification surgery in her right eye. Visual acuity of the right eye was 1/60 with ciliary injection and IOL dislocation to the anterior chamber of the right eye. The patient underwent surgery of the right eye and the IOL haptic was found to be broken. In this case report, the factors affecting IOL dislocation are axis length, broken IOL haptic, and patient activity that increased intraocular pressure. Cataract extraction surgery, although common, needs to be conducted carefully, and it is important for ophthalmologists and general practitioners to detect this condition, especially in rural areas where facilities are limited, as IOL dislocation could occur and requires immediate treatment to achieve a better result.

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