Korean J Gastroenterol.  2015 Apr;65(4):258-260. 10.4166/kjg.2015.65.4.258.

Chronic Radiation Colitis with Rectopelvic Fistula Diagnosed 30 Years after Radiation Therapy

• Kim HS
• Baik GH

• KMID: 2373219
• DOI: http://doi.org/10.4166/kjg.2015.65.4.258

Abstract

No abstract available.

MeSH Terms

Aged
Chronic Disease
Colitis/complications/*diagnosis/pathology
Colonoscopy
Female
Fistula/complications/diagnosis
Humans
Intestinal Perforation/diagnosis/surgery
Tomography, X-Ray Computed
Uterine Cervical Neoplasms/*radiotherapy

Figure

• 

  Fig. 1. Endoscopic findings. (A) Diffuse edematous mucosa with capillary dilatation and luminal narrowing is seen on rectosigmoid juction. (B) Irregular pelvic wall with ulcers and pus-like material are observed when the scope is passed into the rectopelvic fistula.

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  Fig. 2. Abdomen-pelvis computed tomography. (A) Diffuse wall thickening is noted on rectosigmoid junction with 13-mm colonic wall defect (arrow). (B) Complicated fluid collection (5.5 cm, arrow) is present around the pericolic area.

Reference

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