Chronic Radiation Colitis with Rectopelvic Fistula Diagnosed 30 Years after Radiation Therapy

Hyo Sun Kim; Gwang Ho Baik

doi:10.4166/kjg.2015.65.4.258

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Kim and Baik: Chronic Radiation Colitis with Rectopelvic Fistula Diagnosed 30 Years after Radiation Therapy

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Korean J Gastroenterol 2015;65(4):258-260.

Published online: 4 October 2015

DOI: https://doi.org/10.4166/kjg.2015.65.4.258

Chronic Radiation Colitis with Rectopelvic Fistula Diagnosed 30 Years after Radiation Therapy

Hyo Sun Kim, Gwang Ho Baik

Department of Internal Medicine, Hallym University Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, Korea

Correspondence to: Gwang Ho Baik, Department of Internal Medicine, Hallym University Chuncheon Sacred Heart Hospital, 77 Sakju-ro, Chuncheon 200-704, Korea. Tel: +82-33-240-5810, Fax: +82-33-255-4291, E-mail: baikgh@hallym.ac.kr

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

References

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Fig. 1.

Endoscopic findings. (A) Diffuse edematous mucosa with capillary dilatation and luminal narrowing is seen on rectosigmoid juction. (B) Irregular pelvic wall with ulcers and pus-like material are observed when the scope is passed into the rectopelvic fistula.

Fig. 2.

Abdomen-pelvis computed tomography. (A) Diffuse wall thickening is noted on rectosigmoid junction with 13-mm colonic wall defect (arrow). (B) Complicated fluid collection (5.5 cm, arrow) is present around the pericolic area.

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