Cure of urethro-rectal fistula secondary to a road traffic accident by perineal approach with gracilis flap interposition: A case report

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Abstract

Introduction

A urethro-rectal fistula is an abnormal communication between the urethra and the rectum. It is a rare entity. It is most often an iatrogenic lesion during prostate surgery. We present here the case of a post-traumatic urethro-rectal fistula secondary to a road accident. Surgical cure was via a perineal approach with gracilis flap interposition.

Case presentation

This is a 15-year-old patient who consulted for a urethro-cutaneous fistula. Retrograde urethrography (RUG) with voiding cystourethrography (VCUG) showed a urethro-rectal fistula, with contrast leakage and opacification of the rectum. The fistula was cured using an anterior perineal approach with interposition of a gracilis flap. The post-operative course was uneventful.

Discussion

Urethro-rectal fistula is a rare entity and most often iatrogenic. Due to the rarity of this entity, the literature concerning its description, and its treatment is poor. Tailored approach should be considered for each patient. The use of gracilis flap interposition is describe as a good technique for managing urethro-rectal fistulas.

Conclusion

Urethro-rectal fistula is a rare pathology, especially when it occurs following a road accident. Perineal cure with gracilis flap interposition appears to be a reliable technique.
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通过会阴入路与腓骨瓣插入术治愈道路交通事故继发的尿道直肠瘘:病例报告
导言尿道直肠瘘是尿道和直肠之间的异常沟通。这是一种罕见的疾病。它通常是前列腺手术中的先天性病变。我们在此介绍一例因交通事故继发的创伤后尿道直肠瘘。该病例是一名 15 岁患者,因尿道皮肤瘘就诊。逆行尿道造影术(RUG)和排尿膀胱造影术(VCUG)显示尿道直肠瘘,造影剂渗漏,直肠不透明。手术采用会阴前部入路,插入腓肠肌瓣,治愈了瘘管。讨论 尿道直肠瘘是一种罕见的疾病,多为先天性疾病。由于这种疾病的罕见性,有关其描述和治疗的文献很少。应考虑为每位患者量身定制治疗方法。结论尿道直肠瘘是一种罕见病,尤其是在交通事故后发生。使用腓肠肌瓣内插术进行会阴部治疗似乎是一种可靠的技术。
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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
1116
审稿时长
46 days
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