Title

Successful embolization of a enterocutaneous fistula tract with Onyx 34 following low anterior resection for rectal cancer

Document Type

Journal Article

Publication Date

6-1-2018

Journal

Radiology Case Reports

Volume

13

Issue

3

DOI

10.1016/j.radcr.2017.09.007

Keywords

Embolization; Onyx; Rectal cancer

Abstract

© 2018 Enterocutaneous fistulas (ECFs) can be one of the complications found after surgical intervention for rectal cancer. Interventional modalities consisting of surgical, endoscopic, and radiological methods are often implemented to treat postoperative symptomatic complications. We present the case of 61-year-old Caucasian man who presented to us with a recent diagnosis of rectal cancer that had invaded the levators as well as anteriorly into the prostate, and who underwent low anterior resection with a diverting loop ileostomy. The patient was found to have a persistent presacral abscess due to an ECF tract. This case highlights the off-label use of ethylene-vinyl alcohol copolymer dissolved in dimethyl sulfoxide (Onyx 34) to seal an ECF.

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