Rectovaginal fistula following colectomy with an end-to-end anastomosis stapler for a colorectal adenocarcinoma

An 11-year-old, female neutered Labrador retriever was presented with a micro-invasive differentiated papillar adenocarcinoma at the colorectal junction. A colorectal end-to-end anastomosis stapler device was used to perform resection and anastomosis using a transanal technique. A rectovaginal fistu...

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Bibliographic Details
Published in:Journal of small animal practice 2006-12, Vol.47 (12), p.751-753
Main Authors: Klein, A, Scotti, S, Hidalgo, A, Viateau, V, Fayolle, P, Moissonnier, P
Format: Article
Language:English
Subjects:
adenocarcinoma
Adenocarcinoma - surgery
Adenocarcinoma - veterinary
anastomosis
Anastomosis, Surgical - adverse effects
Anastomosis, Surgical - veterinary
Animals
case studies
Colectomy - adverse effects
Colectomy - veterinary
colorectal neoplasms
Colorectal Neoplasms - surgery
Colorectal Neoplasms - veterinary
dog diseases
Dog Diseases - etiology
Dogs
Female
females
fistula
iatrogenic disorders
pets
postoperative complications
Rectovaginal Fistula - etiology
Rectovaginal Fistula - veterinary
rectum
resection
Suture Techniques - adverse effects
Suture Techniques - veterinary
Sutures - adverse effects
Sutures - veterinary
vagina
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Summary:An 11-year-old, female neutered Labrador retriever was presented with a micro-invasive differentiated papillar adenocarcinoma at the colorectal junction. A colorectal end-to-end anastomosis stapler device was used to perform resection and anastomosis using a transanal technique. A rectovaginal fistula was diagnosed two days later. An exploratory laparotomy was conducted and the fistula was identified and closed. Early dehiscence of the colon was also suspected and another colorectal anastomosis was performed using a manual technique. Comparison to a conventional manual technique of intestinal surgery showed that the use of an automatic staple device was quicker and easier. To the authors' knowledge, this is the first report of a rectovaginal fistula occurring after end-to-end anastomosis stapler colorectal resection-anastomosis in the dog. To minimise the risk of this potential complication associated with the limited surgical visibility, adequate tissue retraction and inspection of the anastomosis site are essential.
ISSN:0022-4510
1748-5827
DOI:10.1111/j.1748-5827.2006.00148.x