Arterial-enteric fistula after pelvic lymphadenectomy in secondary cytoreductive surgery for recurrent ovarian cancer

Anna Fagotti, Giovanni Scambia, Maria Gabriella Ferrandina, Francesco Cosentino, Valerio Gallotta, Andrea Rosati

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

n 6.2% of gynaecologic malignancies, vascular involvement is reported. Cytoreductive surgery presents in those cases a higher rate of major complications. Arterial-enteric fistula is a very rare post-surgical complication with serious repercussions on the patient's life due to intestinal haemorrhage and the overlapping sepsis. This is the first case report about iliac-colonic fistula formation in recurrent ovarian cancer with lymph-node metastasis after laparoscopic secondary cytoreductive surgery in a 75-year-old woman and its successful surgical management. A literature review about arterial-enteric fistula formation in gynaecologic cancer treatment, specifically ovarian cancer, is also reported, hypothesising the risk factors of this severe postoperative complication and possible surgical solutions.
Original languageEnglish
Pages (from-to)1-8-8
Number of pages8
JournalJournal of Obstetrics and Gynaecology
DOIs
Publication statusPublished - 2019

Keywords

  • Arterial-enteric fistula
  • cytoreductive surgery
  • lymphadenectomy
  • ovarian cancer
  • post-operative complication

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