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Pelvic exenteration

Case contributed by Dr Amir Rezaee

Presentation

History of vaginal cancer complicated by anal sarcoma post radiotherapy

Patient Data

Age: 75 years
CT

Left-sided colostomy is noted and right-sided ileal conduit with left ureteric stent extending through the ileal conduit into the stomal bag.

Case Discussion

Pelvic exenteration is a radical surgery performed in an attempt to cure patients with locally advanced central pelvic malignancies. It includes evisceration of bladder, urethra,rectum, anus, and in females vagina and uterus sometimes partial sacralectomy also needs to be done. Exenteration is considered only after other initial therapies such as chemoradiation.

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