{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T20:44:47Z","timestamp":1779223487710,"version":"3.51.4"},"reference-count":18,"publisher":"International College of Surgeons","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014]]},"abstract":"Abstract<\/jats:title>\n We report a case of a patient with seminal vesicle-rectal fistula, an extremely rare complication of low anterior resection of the rectum. A 53-year-old man with rectal adenocarcinoma underwent low anterior resection in our hospital. The patient experienced diarrhea, pneumaturia, and low-grade fever on postoperative day 13. A computed tomography scan showed emphysema in the right seminal vesicle. We concluded that anastomotic leakage induced a seminal vesicle-rectal fistula. The patient underwent conservative therapy with total parenteral nutrition and oral intake of metronidazole. Diarrhea and pneumaturia rapidly improved after metronidazole administration and the patient was successfully cured without invasive therapy such as colostomy or surgical drainage. A seminal vesicle-rectal fistula is a rare complication of low anterior resection, and therapeutic strategies for this condition remain elusive. Our report provides valuable information on the successful conservative treatment of a secondary seminal vesicle-rectal fistula that developed after low anterior resection of the rectum in a patient.<\/jats:p>","DOI":"10.9738\/intsurg-d-13-00164.1","type":"journal-article","created":{"date-parts":[[2014,1,20]],"date-time":"2014-01-20T22:47:19Z","timestamp":1390258039000},"page":"23-27","source":"Crossref","is-referenced-by-count":10,"title":["Seminal Vesicle-Rectal Fistula Secondary to Anastomotic Leakage After Low Anterior Resection for Rectal Cancer: A Case Report and Brief Literature Review"],"prefix":"10.9738","volume":"99","author":[{"given":"Masato","family":"Kitazawa","sequence":"first","affiliation":[{"name":"Department of Gastrointestinal Surgery of Iida Municipal Hospital, Masato Kitazawa, Iida, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manabu","family":"Hiraguri","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery of Iida Municipal Hospital, Masato Kitazawa, Iida, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chika","family":"Maeda","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery of Iida Municipal Hospital, Masato Kitazawa, Iida, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mizukami","family":"Yoshiki","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery of Iida Municipal Hospital, Masato Kitazawa, Iida, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoto","family":"Horigome","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery of Iida Municipal Hospital, Masato Kitazawa, Iida, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gengo","family":"Kaneko","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery of Iida Municipal Hospital, Masato Kitazawa, Iida, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4721","reference":[{"issue":"1","key":"i0020-8868-99-1-23-b01","series-title":"J Urol","first-page":"123","article-title":"Recto-ejaculatory duct fistula: an unusual complication of Crohn's disease","volume":"131","author":"Hamidina\n A.","year":"1984","unstructured":"Hamidina\n A. \n \n Recto-ejaculatory duct fistula: an unusual complication of Crohn's disease. J Urol1984;131(1):123\u2013124"},{"issue":"5","key":"i0020-8868-99-1-23-b02","series-title":"Clin Radiol","first-page":"309","article-title":"Two cases of seminal vesicle fistula","volume":"54","author":"Carlin\n J,","year":"1999","unstructured":"Carlin\n J, \n \n Nicholson\n DA, \n \n Scott\n NA. \n \n Two cases of seminal vesicle fistula. Clin Radiol1999;54(5):309\u2013311"},{"issue":"5","key":"i0020-8868-99-1-23-b03","series-title":"N Y State J Med","first-page":"222","article-title":"Recurrent chronic epididymitis as an initial symptom of colovesical fistula","volume":"85","author":"Godec\n CJ,","year":"1985","unstructured":"Godec\n CJ, \n \n Rice\n D, \n \n Younger\n S. \n \n Recurrent chronic epididymitis as an initial symptom of colovesical fistula. 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Jpn J Gastroenterol Surg2008;41(10):1854\u20131859"},{"issue":"1","key":"i0020-8868-99-1-23-b17","series-title":"Wideochir Inne Tech Malo Inwazyjne","first-page":"63","article-title":"Fistula between anterior rectum wall and seminal vesicles as a rare complication of low-anterior resection of the rectum","volume":"7","author":"Sykora\n R,","year":"2012","unstructured":"Sykora\n R, \n \n Krhut\n J, \n \n Jonszta\n T, \n \n Nemec\n D, \n \n Havranek\n O, \n \n Martinek\n L. \n \n Fistula between anterior rectum wall and seminal vesicles as a rare complication of low-anterior resection of the rectum. 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