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Case Report

Conservative Management for an Entero-Adnexal Fistula at Initial Presentation of Advanced Ovarian Carcinoma

1
Department of Oncology, Clalit Health Services, Lin Medical Center, Haifa, Israel
2
Department of Gynecology and Obstetrics, Carmel Medical Center, Haifa, Israel
3
Dept of Surgery A, Carmel Medical Center, Haifa, Israel
4
Division of Gynecologic Oncology, Department of Gynecology and Obstetrics, Carmel Medical Center, and B. Rappaport Faculty of Medicine, Technion Institute of Technology, Haifa, Israel
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2013, 20(1), 44-47; https://doi.org/10.3747/co.20.1196
Submission received: 7 January 2013 / Revised: 9 January 2013 / Accepted: 11 January 2013 / Published: 1 February 2013

Abstract

Gastrointestinal fistulae can occur in ovarian cancer patients, usually in the setting of advanced relapsed disease. Treatment typically involves immediate surgery. Here, we describe a case of an abscess resulting from an intestinal fistula as the first manifestation of advanced epithelial ovarian cancer, and we review the current literature on this subject. The patient was successfully treated with a combination of chemotherapy, antibiotics, and delayed surgery. Optimal debulking was achieved without a need for bowel resection. This report is the first of conservative management of a fistula in an ovarian cancer patient in the chemotherapy-naïve setting.
Keywords: fistula; ovarian cancer; chemotherapy; abscess; serous fistula; ovarian cancer; chemotherapy; abscess; serous

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MDPI and ACS Style

Shai, A.; Grikshtas, E.; Segev, Y.; Moskovitz, M.; Bitterman, A.; Steiner, M.; Lavie, O. Conservative Management for an Entero-Adnexal Fistula at Initial Presentation of Advanced Ovarian Carcinoma. Curr. Oncol. 2013, 20, 44-47. https://doi.org/10.3747/co.20.1196

AMA Style

Shai A, Grikshtas E, Segev Y, Moskovitz M, Bitterman A, Steiner M, Lavie O. Conservative Management for an Entero-Adnexal Fistula at Initial Presentation of Advanced Ovarian Carcinoma. Current Oncology. 2013; 20(1):44-47. https://doi.org/10.3747/co.20.1196

Chicago/Turabian Style

Shai, A., E. Grikshtas, Y. Segev, M. Moskovitz, A. Bitterman, M. Steiner, and O. Lavie. 2013. "Conservative Management for an Entero-Adnexal Fistula at Initial Presentation of Advanced Ovarian Carcinoma" Current Oncology 20, no. 1: 44-47. https://doi.org/10.3747/co.20.1196

APA Style

Shai, A., Grikshtas, E., Segev, Y., Moskovitz, M., Bitterman, A., Steiner, M., & Lavie, O. (2013). Conservative Management for an Entero-Adnexal Fistula at Initial Presentation of Advanced Ovarian Carcinoma. Current Oncology, 20(1), 44-47. https://doi.org/10.3747/co.20.1196

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