Complex intestinal fistula treated with colon‑indwelling drainage stent under prostate resection endoscopy instrumentation guidance: A case report

Wang,Caihong; Tu,Song; Yang,Faying; Qin,Yujie; Qian,Jun; Yao,Jiaxi

doi:10.3892/etm.2024.12673

Complex intestinal fistula treated with colon‑indwelling drainage stent under prostate resection endoscopy instrumentation guidance: A case report

Authors:
- Caihong Wang
- Song Tu
- Faying Yang
- Yujie Qin
- Jun Qian
- Jiaxi Yao
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Affiliations: Department of Nursing, Hexi University Affiliated Zhangye People's Hospital, Zhangye, Gansu 734000, P.R. China, Department of General Surgery II, Hexi University Affiliated Zhangye People's Hospital, Zhangye, Gansu 734000, P.R. China, Department of Urology, Hexi University Affiliated Zhangye People's Hospital, Zhangye, Gansu 734000, P.R. China, Department of Endoscopy Center, Hexi University Affiliated Zhangye People's Hospital, Zhangye, Gansu 734000, P.R. China, Institute of Urology, Hexi University, Zhangye, Gansu 734000, P.R. China
Published online on: August 1, 2024 https://doi.org/10.3892/etm.2024.12673
Article Number: 384
Copyright: © Wang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

The treatment of complex intestinal fistulas has been a challenge in general surgery. A complex fistula is defined as a fistula with more than one abnormal connection between the gastrointestinal tract and skin, or a fistula with multiple bowel loops. The present case report describes the minimally invasive treatment of a complex intestinal fistula. Briefly, a 51‑year‑old man presented with an intestinal fistula. Following adequate anti‑infective drainage of the abdominal abscess, transurethral prostate resection instrumentation was used to flush and drain the intestinal drainage tubes. On reduction of leakage, a drainage tube was inserted into the intestinal tract to serve as an internal stent. Imaging confirmed the successful cessation of intestinal leakage and a satisfactory recovery. The drainage tube was removed under colonoscopy, restoring normal small intestine function. To summarize, after sufficient drainage, the leakage gradually decreased, promoting healing; the patient achieved full recovery upon removal of the internal stent via colonoscopy and the establishment of a small intestinal stoma. In conclusion, transurethral prostate resection instrumentation enables safe and minimally invasive placement of intestinal stents, ensuring effective drainage for managing intestinal fistulas.

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