Peritoneal bladder fistula following radiotherapy for cervical cancer: A case report

Shi,Fan; Wang,Tao; Wang,Jiquan; Hui,Beina; Chai,Yanlan; Wang,Juan; Liu,Zi

doi:10.3892/ol.2016.4820

September-2016 Volume 12 Issue 3

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September-2016 Volume 12 Issue 3

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Case Report

Peritoneal bladder fistula following radiotherapy for cervical cancer: A case report

Authors:
- Fan Shi
- Tao Wang
- Jiquan Wang
- Beina Hui
- Yanlan Chai
- Juan Wang
- Zi Liu
View Affiliations / Copyright

Affiliations: Department of Radiation Oncology, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi 710061, P.R. China
Pages: 2008-2010
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Published online on: July 7, 2016

https://doi.org/10.3892/ol.2016.4820
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Abstract

The occurrence of a peritoneal bladder fistula as a result of radiation cystitis following radiotherapy for cervical cancer is extremely rare and, to the best of our knowledge, has not been reported previously. The present study reports the case of a 50‑year‑old woman who was diagnosed with cervical cancer 20 years previously and was treated with radiotherapy. The patient was diagnosed with radiation cystitis 10 years ago, which was treated with Chinese medicine, and began experiencing sudden abdominal pain and bowel difficulties following urination 3 years ago. B‑ultrasound examination at The People's Hospital of Tongchuan (Tongchuan, China) detected the presence of abdominal pelvic fluid. Following antibiotic (levofloxacin for 5 days) and ascites extraction treatment, symptoms were relieved without recurrence. However, 5 days prior to admission to the First Affiliated Hospital of Xi'an Jiatong University (Xi'an, China) on June 25, 2014, the patient experienced difficulty when urinating, abdominal pain and bloating, but did not experience frequent urination, hematuria or fever. Cystoscopic examination revealed a visible fistula on the bladder wall measuring 1x1 cm in diameter. Cytoscopic examination 1 month after catheterization and ascites extraction revealed no evidence of the fistula. The patient was followed up every 3 months for a year and a half, and is currently alive and well. In conclusion, the occurrence of peritoneal bladder fistula following radiation therapy is rare and cystoscopy is the preferred method of examination and diagnosis. Early detection and treatment may significantly improve the prognosis of patients.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Peritoneal bladder fistula following radiotherapy for cervical cancer: A case report

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