CASE REPORT article

Front. Oncol.

Sec. Surgical Oncology

Volume 15 - 2025 | doi: 10.3389/fonc.2025.1549485

Unusual presentation and atypical course of a case of ureterocolic fistula after anterior resection for sigmoid cancer

Provisionally accepted
Salvatore TramontanoSalvatore Tramontano1,2*Biancamaria IaconeBiancamaria Iacone2,3Valentina ParrellaValentina Parrella1antonio gargiuloantonio gargiulo3anna tedescoanna tedesco3Umberto BracaleUmberto Bracale1,2
  • 1Department of Physics, University of Salerno, Salerno, Italy
  • 2Ospedali Riuniti San Giovanni di Dio e Ruggi d'Aragona, Salerno, Italy
  • 3University of Naples Federico II, Naples, Campania, Italy

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The ureterocolic fistula (UF) can be a rare but serious complication of abdomino-pelvic surgery, gynecological procedures, oncological or inflammatory conditions and, especially in colorectal surgery, it can be due to anastomotic leaks or iatrogenic injuries of the ureter. Treatment is multidisciplinary, often involving endoscopic urological procedures or surgery, when necessary. This article presents We present a case of an ureterocolic fistula UF following laparoscopic anterior resection for sigmoid cancer It presented sSome peculiar topics, like an early clinical presentation and a rapid resolution with adequate approach, are very interesting and offer good example for suspicion of UF and management. Our patient presented fever and watery diarrhea in 12 th POD. CT scan was positive for contrast leakage between the third-low of the left ureter and the rectum. Fistula solved with endoscopic and percutaneous approach, with no need of surgical treatment, thanks to multidisciplinary approach and early treatment.

Keywords: Ureterocolic fistula, colorectal cancer, Surgical complications, Ureteral injury, uretere

Received: 18 Jan 2025; Accepted: 31 Mar 2025.

Copyright: © 2025 Tramontano, Iacone, Parrella, gargiulo, tedesco and Bracale. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Salvatore Tramontano, Department of Physics, University of Salerno, Salerno, Italy

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