case_images: PMC7724097_01
case_images: CT abdomen with intravesical contrast administered via catheter, illustrates a small amount of contrast in the urinary bladder with extraluminal contrast collected in the prostate bed. This indicates a dorsal bladder wall defect, suggesting that there is an open communication between the urinary bladder and surgical bed. The arrow points to the extraluminal contrast. On the left side (transverse section), a defect of the ventral rectal wall is illustrated.
case_images: gr1.jpg
case_images: PMC7724097_01_gr1.jpg
case_images: fig0005
case_images: On postoperative day (POD) 2 urinary leakage from the rectum, obvious complaints of a urinary tract infection and the results of the CT abdomen (see Fig. 1) indicated the presence of a rectovesical fistula.
case_images: Perineal incision with the pudendal thigh flap.
case_images: gr4.jpg
case_images: PMC7724097_02_gr4.jpg
case_images: fig0020
case_images: The procedure included a debridement of the fistula tract, closure of the defects of the vesical wall (first layer) and the rectal wall (third layer) and an interposition of a pudendal thigh flap (see Fig. 4) (second layer) to reduce the possibility of recurrence (see Box 1 for a detailed step by step description). The duration of the procedure was 189 min.
case_images: PMC7724097_02
case_images: CT abdomen with intravescial contrast administered via catheter, shows a connection between the urinary bladder and the rectum, illustrating the rectovesical fistula. The arrow points out the rectovesical fistula.
case_images: gr2.jpg
case_images: PMC7724097_02_gr2.jpg
case_images: fig0010
case_images: A CT abdomen with intravesical contrast administered via catheter confirmed a rectovesical fistula (see Fig. 2).
case_images: Perineal incision with the pudendal thigh flap.
case_images: gr4.jpg
case_images: PMC7724097_02_gr4.jpg
case_images: fig0020
case_images: The procedure included a debridement of the fistula tract, closure of the defects of the vesical wall (first layer) and the rectal wall (third layer) and an interposition of a pudendal thigh flap (see Fig. 4) (second layer) to reduce the possibility of recurrence (see Box 1 for a detailed step by step description). The duration of the procedure was 189 min.
case_images: PMC7724097_03
case_images: CT scan of the abdomen with rectal contrast shows a rectovaginal fistula. The arrow points to the rectovaginal fistula.
case_images: gr3.jpg
case_images: PMC7724097_03_gr3.jpg
case_images: fig0015
case_images: A CT-scan of the abdomen confirmed a rectovaginal fistula (see Fig. 3).