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Successful Treatment of Rectovaginal Fistula with Endoscopic Clipping: A Case Report

用內視鏡血管夾治療直腸陰道瘻管:病例報告

摘要


內視鏡血管夾被用於控制消化道出血已超過30年。最近血管夾更廣泛被用於各種非消化道出血的情況。我們報告一位70歲女性患者,三年前因直腸癌接受低前位切除手術後,最近因子宮肌瘤接受子宮切除手術,術後產生直腸陰道瘻管的併發症。我們在大腸鏡檢查中使用內視鏡血管夾成功治療直腸陰道瘻管。此病患不需要人工肛門,追蹤六個月無直腸陰道瘻管復發現象。

並列摘要


Endoscopic clips have been used to control gastrointestinal bleeding for over 30 years. Recently, endoscopic clips have been used for a variety of non-hemorrhagic conditions. Here, we report a 70-year-old woman with a history of rectal cancer who received low anterior resection of the rectum and anastomosis 3 years ago. A complication of rectovaginal fistula was found after a recent hysterectomy for uterine myoma. Successful closure of the rectovaginal fistula was performed using the endoscopic clipping method. Diversion colostomy was not done for this patient. No recurrent rectovaginal fistula was found during follow-up for 6 months.

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