Investigation of Intestinoseminal Vesicle Fistula_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 XIAZhi-xiu ,  CHENChun-sheng , CONGJin-chun , ZHANGHong

Department of Colorectal Surgery, Shengjing Hospital, China Medical University, Shenyang 110004, Liaoning Province, China;

Corresponding author：

CHENChun-sheng, Email: chenchunsheng@sj-hospital.org

Keywords：

Intestinoseminal vesicle fistula; Low anterior resection; Stomal leak

DOI：

10.7507/1007-9424.20140346

Video：

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Objective To summarize the causes, clinical manifestations, diagnosis and treatment methods for the intestinoseminal vesicle fistula. Method Literatures about intestinoseminal vesicle fistula at home and abroad were retrieved, the causes, clinical manifestations, diagnosis and treatment methods were analyzed. Results The clinical reports of 19 patients with intestinoseminal vesicle fistula were searched.The intestinoseminal vesicle fistula occurred after the rectal low anterior resection with stomal leak, sigmoid diverticulum, inflammatory bowel disease, prostatectomy or radiotherapy.The main clinical symptoms were pneumaturia, fecaluria, fever, scrotal swelling and pain, orchitis, epididymitis and so on.Imaging methods such as enhanced CT or CT with rectal contrast and so on could confirm the diagnosis.The conservative treatment such as indwelling catheter, antibiotics, parenteral nutrition, and the operation methods such as sinus incision and drainage, mucosa/skeletal muscle flap repairment, urine/stool bypass could cure majority of cases. Conclusions The intestinoseminal vesicle fistula is a rare and independent disease.Through the discussion of the intestinoseminal vesicle fistula, it could improve the knowledge, and avoid misdiagnosis and mistreatment of the intestinoseminal vesicle fistula.

Citation： XIAZhi-xiu, CHENChun-sheng, CONGJin-chun, ZHANGHong. Investigation of Intestinoseminal Vesicle Fistula. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(11): 1454-1459. doi: 10.7507/1007-9424.20140346 Copy

1.	Hamidinia A.Recto-ejaculatory duct fistula:an unusual complication of Crohn's disease[J].Urol Int, 1984, 131(1):123-124.
2.	Zhan T, Wang L, Li M, et alet alet al.A multidisciplinary clinical treatment of locally advanced rectal cancer complicated with rectovesical fistula:a case report[J].J Med Case Rep, 2012, 6:369.
3.	Mangiavillano B, Pisani A, Viaggi P, et al.Endoscopic sealing of a rectovesical fistula with a combination of an over the scope clip and cyano-acrylate injection[J].J Gastrointest Oncol, 2010, 1(2):122-124.
4.	O'Brien WM, Lynch JH.Epididymitis-an unusual presentation of colovesical fistula secondary to diverticulitis.Report of a case[J].Dis Colon Rectum, 1988, 31(7):570-572.
5.	Yang HY, Sun WY, Lee TG, et al.A case of colovesical fistula induced by sigmoid diverticulitis[J].J Korean Soc Coloproctol, 2011, 27(2):94-98.
6.	Stathaki M, Vamvakas L, Papadaki E, et al.Colovesical fistula demonstrated on renal cortical scintigraphy[J].Clin Nucl Med, 2012, 37(11):1112-1114.
7.	Kumar S, Kekre NS, Gopalakrishnan G.Diagnosis and conservative treatment of tubercular rectoprostatic fistula[J].Ann R Coll Surg Engl, 2006, 88(1):26.
8.	Goldman HS, Sapkin SL, Foote RF, et al.Seminal vesicle-rectal fistula.Report of a case[J].Dis Colon Rectum, 1989, 32(1):67-69.
9.	Kollmorgen TA, Kollmorgen CF, Lieber MM, et al.Seminal vesicle fistula following abdominoperineal resection for recurrent adenocarcinoma of the rectum.Report of a case[J].Dis Colon Rectum, 1994, 37(12):1325-1327.
10.	Carlin J, Nicholson DA, Scott NA.Two cases of seminal vesicle fistula[J].Clin Radiol, 1999, 54(5):309-311.
11.	Calder JF.Seminal vesicle fistula[J].Clin Radiol, 2000, 55(4):328.
12.	Celebrezze JP, Medich DS.Rectal ulceration as a result of prostatic brachytherapy:a new clinical problem:report of three cases[J].Dis Colon Rectum, 2003, 46(9):1277-1279.
13.	Roupret M, Varkarakis J, Valverde A, et al.Recto-seminal fistula and cancer of the rectum[J].Prog Urol, 2004, 14(6):1219-1220.
14.	Coulier B, Ramboux A, Maldague P.Emphysematous epididymitis as presentation of unusual seminal vesicle fistula secondary to sigmoid diverticulitis:case report[J].Abdom Imaging, 2005, 30(1):113-116.
15.	LaSpina M, Facklis K, Posalski I, et al.Coloseminal vesicle fistula:report of a case and review of the literature[J].Dis Colon Rectum, 2006, 49(11):1791-1793.
16.	Hammad FT.Seminal vesicle cyst forming an abscess and fistula with the rectum review of perianal drainage and treatment[J].Scand J Urol Nephrol, 2006, 40(5):426-428.
17.	Izumi K, Takase Y, Kobayashi T, et al.Seminal vesicle-rectal fistula with preceding right acute epididymitis[J].Urol Int, 2007, 78(4):367-369.
18.	Placer C, Elósegui JL, Andrés Mujika J, et al.Symptomatic coloseminal vesicle fistula after radiochemotherapy and surgery for rectal cancer[J].Cir Esp, 2007, 81(2):110.
19.	Kawasaki S, Saito S, Hazama H, et al.Seminal vesicle-rectal fistula secondary to anastomotic leakage after leakage after low anterior resection for rectal cancer:report of a case[J].Jpn J Gastroenterol Surg, 2008, 41(10):1854-1859.
20.	Sýkora R, Krhut J, Jonszta T, et al.Fistula between anterior rectum wall and seminal vesicles as a rare complication of low-an terior resection of the rectum[J].Wideochir Inne Tech Malo Inwazyjne, 2012, 7(1):63-66.
21.	Nakajima K, Sugito M, Nishizawa Y, et al.Rectoseminal vesicle fistula as a rare complication after low anterior resection:a report of three cases[J].Surg Today, 2013, 43(5):574-579.
22.	夏志秀, 丛进春, 刘鼎盛, 等.精囊腺肠瘘一例[J].中国医师杂志, 2014, 16(1):141-142.
23.	Kitazawa M, Hiraguri M, Maeda C, et al.Seminal vesicle-rectal fistula secondary to anastomotic leakage after low anterior resection for rectal cancer:a case report and brief literature review[J].Int Surg, 2014, 99(1):23-27.
24.	Daradka I, Hazza I.Ectopia vasa deferentia inguinal hernia, vesicourteric reflux, imperforate anus, and recto-vesical fistula:a case report[J].Saudi J Kidney Dis Transpl, 2006, 17(4):572-575.
25.	Saito N, Ono M, Sugito M, et al.Early results of intersphincteric resection for patients with very low rectal cancer:an active approach to avoid a permanent colostomy[J].Dis Colon Rectum, 2004, 47(4):459-466.
26.	丛进春, 陈春生, 马明星, 等.超低位直肠癌行纵向部分括约肌切除术和经内外括约肌间切除术后肛门功能及生活质量比较[J].中国普外基础与临床杂志, 2014, 21(3):305-312.
27.	丛进春, 陈春生, 冯勇, 等.新辅助治疗对低位直肠癌经内外括约肌间切除术后肛门功能的影响[J].中国肿瘤临床, 2013, 40(23):1450-1454.
28.	徐昶, 宋华羽, 吴祥斌, 等.经肛门内外括约肌间延伸平面辅助实施全直肠系膜切除术[J].中华外科杂志, 2013, 51(11):996-999.
29.	王哲近, 周振旭, 朱恒梁, 等.腹腔镜全直肠系膜切除联合经肛内括约肌切除保肛术治疗超低位直肠癌[J].中国微创外科杂志, 2011, 11(2):135-138.
30.	Nishimori H, Hirata K, Fukui R, et al.Vesico-ileosigmoidal fistula caused by diverticulitis:report of a case and literature review in Japan[J].J Korean Med Sci, 2003, 18(3):433-436.
31.	张永刚, 李国栋, 杨柏林, 等.磁共振成像在复杂性肛瘘诊断中的价值及临床应用[J].中国普外基础与临床杂志, 2010, 17(2):125-128.
32.	Han CH, Liang Q, Dong BZ, et al.The transurethral seminal vesiculoscopy in the diagnosis and treatment of the seminal vesicle disease[J].Cell Biochem Biophys, 2013, 66(3):851-853.
33.	王磊, 刘智勇, 许传亮, 等.经尿道精囊镜诊治顽固性或复发性血精162例临床资料分析[J].中华男科学杂志, 2013, 19(6):531-534.
34.	Wang H, Ye H, Xu C, et al.Transurethral seminal vesiculoscopy using a 6F vesiculoscope for ejaculatory duct obstruction:initial experience[J].J Androl, 2012, 33(4):637-643.

1. Hamidinia A.Recto-ejaculatory duct fistula:an unusual complication of Crohn's disease[J].Urol Int, 1984, 131(1):123-124.
2. Zhan T, Wang L, Li M, et alet alet al.A multidisciplinary clinical treatment of locally advanced rectal cancer complicated with rectovesical fistula:a case report[J].J Med Case Rep, 2012, 6:369.
3. Mangiavillano B, Pisani A, Viaggi P, et al.Endoscopic sealing of a rectovesical fistula with a combination of an over the scope clip and cyano-acrylate injection[J].J Gastrointest Oncol, 2010, 1(2):122-124.
4. O'Brien WM, Lynch JH.Epididymitis-an unusual presentation of colovesical fistula secondary to diverticulitis.Report of a case[J].Dis Colon Rectum, 1988, 31(7):570-572.
5. Yang HY, Sun WY, Lee TG, et al.A case of colovesical fistula induced by sigmoid diverticulitis[J].J Korean Soc Coloproctol, 2011, 27(2):94-98.
6. Stathaki M, Vamvakas L, Papadaki E, et al.Colovesical fistula demonstrated on renal cortical scintigraphy[J].Clin Nucl Med, 2012, 37(11):1112-1114.
7. Kumar S, Kekre NS, Gopalakrishnan G.Diagnosis and conservative treatment of tubercular rectoprostatic fistula[J].Ann R Coll Surg Engl, 2006, 88(1):26.
8. Goldman HS, Sapkin SL, Foote RF, et al.Seminal vesicle-rectal fistula.Report of a case[J].Dis Colon Rectum, 1989, 32(1):67-69.
9. Kollmorgen TA, Kollmorgen CF, Lieber MM, et al.Seminal vesicle fistula following abdominoperineal resection for recurrent adenocarcinoma of the rectum.Report of a case[J].Dis Colon Rectum, 1994, 37(12):1325-1327.
10. Carlin J, Nicholson DA, Scott NA.Two cases of seminal vesicle fistula[J].Clin Radiol, 1999, 54(5):309-311.
11. Calder JF.Seminal vesicle fistula[J].Clin Radiol, 2000, 55(4):328.
12. Celebrezze JP, Medich DS.Rectal ulceration as a result of prostatic brachytherapy:a new clinical problem:report of three cases[J].Dis Colon Rectum, 2003, 46(9):1277-1279.
13. Roupret M, Varkarakis J, Valverde A, et al.Recto-seminal fistula and cancer of the rectum[J].Prog Urol, 2004, 14(6):1219-1220.
14. Coulier B, Ramboux A, Maldague P.Emphysematous epididymitis as presentation of unusual seminal vesicle fistula secondary to sigmoid diverticulitis:case report[J].Abdom Imaging, 2005, 30(1):113-116.
15. LaSpina M, Facklis K, Posalski I, et al.Coloseminal vesicle fistula:report of a case and review of the literature[J].Dis Colon Rectum, 2006, 49(11):1791-1793.
16. Hammad FT.Seminal vesicle cyst forming an abscess and fistula with the rectum review of perianal drainage and treatment[J].Scand J Urol Nephrol, 2006, 40(5):426-428.
17. Izumi K, Takase Y, Kobayashi T, et al.Seminal vesicle-rectal fistula with preceding right acute epididymitis[J].Urol Int, 2007, 78(4):367-369.
18. Placer C, Elósegui JL, Andrés Mujika J, et al.Symptomatic coloseminal vesicle fistula after radiochemotherapy and surgery for rectal cancer[J].Cir Esp, 2007, 81(2):110.
19. Kawasaki S, Saito S, Hazama H, et al.Seminal vesicle-rectal fistula secondary to anastomotic leakage after leakage after low anterior resection for rectal cancer:report of a case[J].Jpn J Gastroenterol Surg, 2008, 41(10):1854-1859.
20. Sýkora R, Krhut J, Jonszta T, et al.Fistula between anterior rectum wall and seminal vesicles as a rare complication of low-an terior resection of the rectum[J].Wideochir Inne Tech Malo Inwazyjne, 2012, 7(1):63-66.
21. Nakajima K, Sugito M, Nishizawa Y, et al.Rectoseminal vesicle fistula as a rare complication after low anterior resection:a report of three cases[J].Surg Today, 2013, 43(5):574-579.
22. 夏志秀, 丛进春, 刘鼎盛, 等.精囊腺肠瘘一例[J].中国医师杂志, 2014, 16(1):141-142.
23. Kitazawa M, Hiraguri M, Maeda C, et al.Seminal vesicle-rectal fistula secondary to anastomotic leakage after low anterior resection for rectal cancer:a case report and brief literature review[J].Int Surg, 2014, 99(1):23-27.
24. Daradka I, Hazza I.Ectopia vasa deferentia inguinal hernia, vesicourteric reflux, imperforate anus, and recto-vesical fistula:a case report[J].Saudi J Kidney Dis Transpl, 2006, 17(4):572-575.
25. Saito N, Ono M, Sugito M, et al.Early results of intersphincteric resection for patients with very low rectal cancer:an active approach to avoid a permanent colostomy[J].Dis Colon Rectum, 2004, 47(4):459-466.
26. 丛进春, 陈春生, 马明星, 等.超低位直肠癌行纵向部分括约肌切除术和经内外括约肌间切除术后肛门功能及生活质量比较[J].中国普外基础与临床杂志, 2014, 21(3):305-312.
27. 丛进春, 陈春生, 冯勇, 等.新辅助治疗对低位直肠癌经内外括约肌间切除术后肛门功能的影响[J].中国肿瘤临床, 2013, 40(23):1450-1454.
28. 徐昶, 宋华羽, 吴祥斌, 等.经肛门内外括约肌间延伸平面辅助实施全直肠系膜切除术[J].中华外科杂志, 2013, 51(11):996-999.
29. 王哲近, 周振旭, 朱恒梁, 等.腹腔镜全直肠系膜切除联合经肛内括约肌切除保肛术治疗超低位直肠癌[J].中国微创外科杂志, 2011, 11(2):135-138.
30. Nishimori H, Hirata K, Fukui R, et al.Vesico-ileosigmoidal fistula caused by diverticulitis:report of a case and literature review in Japan[J].J Korean Med Sci, 2003, 18(3):433-436.
31. 张永刚, 李国栋, 杨柏林, 等.磁共振成像在复杂性肛瘘诊断中的价值及临床应用[J].中国普外基础与临床杂志, 2010, 17(2):125-128.
32. Han CH, Liang Q, Dong BZ, et al.The transurethral seminal vesiculoscopy in the diagnosis and treatment of the seminal vesicle disease[J].Cell Biochem Biophys, 2013, 66(3):851-853.
33. 王磊, 刘智勇, 许传亮, 等.经尿道精囊镜诊治顽固性或复发性血精162例临床资料分析[J].中华男科学杂志, 2013, 19(6):531-534.
34. Wang H, Ye H, Xu C, et al.Transurethral seminal vesiculoscopy using a 6F vesiculoscope for ejaculatory duct obstruction:initial experience[J].J Androl, 2012, 33(4):637-643.

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Investigation of Intestinoseminal Vesicle Fistula

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