[Recto-vesical and recto-vesico-vaginal fistulae caused by radiotherapy for carcinoma of the uterine cervix. Surgical treatment]. / Fistulele recto-vezicale si recto-vezico-vaginale postradice dupa neoplasm al colului uterin. Tratament chirurgical.

The authors present a study based on 4 cases of fistulous communication between the terminal digestive tube and the genitourinary tract, which appeared after surgery and radiation therapy for carcinoma of the uterine cervix. The diagnosis criteria (symptoms, clinical and imagistic findings), the objectives of the surgical treatment (external digestive derivation, treatment of the fistula and reconstruction of the digestive tube), the steps of the operation and the early and late postoperative evolution are pointed out. The conclusions are shown at the end.

[Gastrojejunocolic fistula after transmesocolic gastrojejunostomy for stenotic duodenal ulcer]. / Fistula gastro-jejuno-colica dupa gastro-jejunostomie transmezocolica pentru ulcer bulbar stenozant.

The authors are presenting the case of a 53 year-old patient, suffering from type II diabetes mellitus and ankylosing spondylitis, admitted in our clinic in July 1997 for gastrojejunocolic fistula, 5 years after a transmesocolic gastrojejunostomy for obstructive chronic duodenal ulcer. The severe metabolic disorders and the radiologic aspects which led to the diagnosis, as well as the morphopathologic lesions found and the ways to approach the fistula, the stenotic duodenal ulcer and the reconstruction of the digestive continuity in a single surgical procedure are further discussed. The conclusions are shown at the end.