of Cases Misplaced Hypoplastic Neorectum Muscle Complex Pouch colon 4 1 3 Rectovesical
2 0 1 Fistula rectoprostatic 10 2 2 Urethral Fistula 3 0 1 anovestibular Fistula rectovestibular 1 0 1 Fistula perineal Lesion 1 0 1 (Ant.
Late complications include 1 rectovesical
fistula, 2 lymphoceles, and 1 ureteral stricture (Table 2).
Diagnosis of patients with DBWC Diagnosis n Cervical carcinoma 58 Rectal carcinoma 42 Endometrial carcinoma 22 Actinic complications 17 Bladder carcinoma 9 Prostate carcinoma 7 Colon carcinoma 5 Vulvar carcinoma 4 Vaginal carcinoma 2 Ovarian carcinoma 2 Dehiscence urostomy [Bricker] 2 Anal carcinoma 1 Sacrococcygeal carcinoma 1 Pelvic carcinoma 1 Pelvic trauma 1 Hernia cystostomy 1 Neurogenic bladder and incontinence 1 Scrotal-urethra fistula 1 Rectovesical
fistula 1 Primitive neuroectodermal tumor of the pelvis 1 TABLE 3: Reservoir related complications.
He also suffered from multiple urologic complications, including the development of bilateral nephrolithiasis, ureteral obstruction, and hydronephrosis requiring nephrostomy tube drainage and ureteral stent placement, and both rectovesical
and vesicocutaneous fistulae.
All EVF can be divided into the following 4 primary categories: (i) colovesical, (ii) rectovesical
(including rectourethral), (iii) ileovesical, and (iv) appendicovesical fistulae.
The most serious complication was rectovesical
fistula, which occurred in 3-7% of patients.
An early, but large study investigated 276 case-babies with urinary tract anomalies (i.e., bilateral congenital hydronephrosis, unilateral renal and uretal agnesis) and 791 case-babies with genital organ anomalies (i.e., hypospadias, bifid scrotum, imperforate anus with a rectovesical
fistula) matched to a control group from the population-based Atlanta Birth Defects Case Control Study (Chavez, Mulinare, & Cordero, 1989).
Occasionally this finding is the result of a rectovesical
(rectum-bladder) or a rectovaginal fistula.
Two abdominal drains were inserted to drain both the paracolic gutters and the rectovesical
pouch through the right (Figure 3) and left lower quadrants of the abdomen.
In addition, there were small hypodense fluid collections in the Morrison's pouch, the perisplenic and perihepatic regions, and the rectovesical
recess with a density similar to water (Figures 2, 3).
At surgical observation, there were four seperate, circumscribed tumor masses located in the extraperitoneal, rectovesical
and retroprostatic regions with no definitive association identified to the neighboring organs and structures.