Case Report: Unusual presentation and atypical course of a case of ureterocolic fistula after anterior resection for sigmoid cancer
The ureterocolic fistula (UF) can be a rare but serious complication of abdomino-pelvic surgery, gynecological procedures, oncological or inflammatory conditions and, especially in colorectal surgery, it can be due to anastomotic leaks or iatrogenic injuries of the ureter. Treatment is multidiscipli...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2025-06-01
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| Series: | Frontiers in Oncology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2025.1549485/full |
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| author | Salvatore Tramontano Salvatore Tramontano Biancamaria Iacone Biancamaria Iacone Valentina Parrella Antonio Gargiulo Anna Tedesco Umberto Bracale Umberto Bracale |
| author_facet | Salvatore Tramontano Salvatore Tramontano Biancamaria Iacone Biancamaria Iacone Valentina Parrella Antonio Gargiulo Anna Tedesco Umberto Bracale Umberto Bracale |
| author_sort | Salvatore Tramontano |
| collection | DOAJ |
| description | The ureterocolic fistula (UF) can be a rare but serious complication of abdomino-pelvic surgery, gynecological procedures, oncological or inflammatory conditions and, especially in colorectal surgery, it can be due to anastomotic leaks or iatrogenic injuries of the ureter. Treatment is multidisciplinary, often involving endoscopic urological procedures or surgery, when necessary. We present a case of an UF following laparoscopic anterior resection for sigmoid cancer Some peculiar topics, like an early clinical presentation and a rapid resolution with adequate approach, are very interesting and offer good example for suspicion of UF and management. Our patient presented fever and watery diarrhea in 12th POD. CT scan was positive for contrast leakage between the third-low of the left ureter and the rectum. Fistula solved with endoscopic and percutaneous approach, with no need of surgical treatment, thanks to multidisciplinary approach and early treatment. |
| format | Article |
| id | doaj-art-1f79958f3dbe44288dd810a9e63a2c5b |
| institution | DOAJ |
| issn | 2234-943X |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj-art-1f79958f3dbe44288dd810a9e63a2c5b2025-08-20T03:10:04ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2025-06-011510.3389/fonc.2025.15494851549485Case Report: Unusual presentation and atypical course of a case of ureterocolic fistula after anterior resection for sigmoid cancerSalvatore Tramontano0Salvatore Tramontano1Biancamaria Iacone2Biancamaria Iacone3Valentina Parrella4Antonio Gargiulo5Anna Tedesco6Umberto Bracale7Umberto Bracale8Department of Physics, University of Salerno, Salerno, ItalyDepartment of General and Emergency Surgery, Ospedali Riuniti San Giovanni di Dio e Ruggi d’Aragona, Salerno, ItalyDepartment of General and Emergency Surgery, Ospedali Riuniti San Giovanni di Dio e Ruggi d’Aragona, Salerno, ItalyDepartment of General Surgery, University of Naples Federico II, Naples, ItalyDepartment of Physics, University of Salerno, Salerno, ItalyDepartment of General Surgery, University of Naples Federico II, Naples, ItalyDepartment of General Surgery, University of Naples Federico II, Naples, ItalyDepartment of Physics, University of Salerno, Salerno, ItalyDepartment of General and Emergency Surgery, Ospedali Riuniti San Giovanni di Dio e Ruggi d’Aragona, Salerno, ItalyThe ureterocolic fistula (UF) can be a rare but serious complication of abdomino-pelvic surgery, gynecological procedures, oncological or inflammatory conditions and, especially in colorectal surgery, it can be due to anastomotic leaks or iatrogenic injuries of the ureter. Treatment is multidisciplinary, often involving endoscopic urological procedures or surgery, when necessary. We present a case of an UF following laparoscopic anterior resection for sigmoid cancer Some peculiar topics, like an early clinical presentation and a rapid resolution with adequate approach, are very interesting and offer good example for suspicion of UF and management. Our patient presented fever and watery diarrhea in 12th POD. CT scan was positive for contrast leakage between the third-low of the left ureter and the rectum. Fistula solved with endoscopic and percutaneous approach, with no need of surgical treatment, thanks to multidisciplinary approach and early treatment.https://www.frontiersin.org/articles/10.3389/fonc.2025.1549485/fullureterocolic fistulacolorectal cancersurgical complicationsureteral injuryureter |
| spellingShingle | Salvatore Tramontano Salvatore Tramontano Biancamaria Iacone Biancamaria Iacone Valentina Parrella Antonio Gargiulo Anna Tedesco Umberto Bracale Umberto Bracale Case Report: Unusual presentation and atypical course of a case of ureterocolic fistula after anterior resection for sigmoid cancer Frontiers in Oncology ureterocolic fistula colorectal cancer surgical complications ureteral injury ureter |
| title | Case Report: Unusual presentation and atypical course of a case of ureterocolic fistula after anterior resection for sigmoid cancer |
| title_full | Case Report: Unusual presentation and atypical course of a case of ureterocolic fistula after anterior resection for sigmoid cancer |
| title_fullStr | Case Report: Unusual presentation and atypical course of a case of ureterocolic fistula after anterior resection for sigmoid cancer |
| title_full_unstemmed | Case Report: Unusual presentation and atypical course of a case of ureterocolic fistula after anterior resection for sigmoid cancer |
| title_short | Case Report: Unusual presentation and atypical course of a case of ureterocolic fistula after anterior resection for sigmoid cancer |
| title_sort | case report unusual presentation and atypical course of a case of ureterocolic fistula after anterior resection for sigmoid cancer |
| topic | ureterocolic fistula colorectal cancer surgical complications ureteral injury ureter |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2025.1549485/full |
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