alexa Transvesical Colorectal Anastomosis: An Unusual Complication inReversal of Hartmannís Procedure | OMICS International | Abstract
ISSN: 2161-1076

Surgery: Current Research
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Case Report

Transvesical Colorectal Anastomosis: An Unusual Complication inReversal of Hartmann’s Procedure

Fabio Pacifico*, Pier Paolo Vergineo, Paolo Ferravante and Rodolfo Vincenti

Ospedale Fatebenefratelli Surgery Viale Principe di Napoli 14/A Benevento, BN 82100, Italy

*Corresponding Author:
Pacifico F, MD
Ospedale Fatebenefratelli Surgery Viale Principe di Napoli 14/A Benevento, BN 82100, Italy
Tel: +39-824-771-223
E-mail: [email protected]t

Received date: February 02, 2015; Accepted date: March 28, 2015; Published date: April 07, 2015

Citation: Pacifico F, Vergineo PP, Ferravante P, Vincenti R (2015) Transvesical Colorectal Anastomosis: An Unusual Complication in Reversal of Hartmann’s Procedure. Surgery Curr Res 5:227. doi:10.4172/2161-1076.1000227

Copyright: © 2015 Pacifico F, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

It is described an unusual complication after colorectal surgery for reversal of Hartmann’s procedure. The female patient had been operated on for diverticulitis (Hinchey III) according to Hartmann’s procedure. Six months later she underwent restorative surgery with circular stapler for end-to-end transanal anastomosis. The onset of symptoms such as fever, abdominal pain, fecaluria and pneumaturia had forced the patient to a hospital readmission. Diagnostic examinations had revealed colovesical fistula. The cause of this complication was that staple line of colorectal anastomosis had incorporated the bladder wall to full thickness. It was necessary to reoperation for the resolution of the damage. The resection of fistulised tract, the colorectal reanastomosis and the reconstruction of the bladder were performed.

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