Fistulă ileo-perineală: Complicaţie tardivă rară după amputaţia de rect – caz clinic

Abstract

Abdominal-perineal rectal amputation retains a well-defined place in the surgical treatment of rectal cancer, despite technical advances. The authors present the case of a 67-year-old patient who developed an entero-perineal fistula involving the last ileal loop, two years after an abdominal-perineal rectal amputation for a radiotreated rectal neoplasm. For surgical treatment of the fistula, right ileo-hemicolectomy with ileo-transverse anastomosis were performed. The fistulous tract is treated by soft field typhoon meshing in the same manner of treating the perineal wound after rectal amputation. The evolution is favorable, with the closure of the perineal wound, 6 weeks after surgery. The peculiarity of the case consists in the way of surgical solution. This case presentation is important due to the rarity of the ileo-perineal fistula after amputation of the rectum, as well as due to the particular way of surgical resolution.