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CASE REPORT article
Front. Med.
Sec. Obstetrics and Gynecology
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1511052
This article is part of the Research Topic Advancements in Diagnostic and Management Strategies for Gynecological Pathologies View all 11 articles
Case report: SVF after chemoradiotherapy for cervical cancer diagnosed by non-contact hysteroscopic technique
Provisionally accepted- 1 Changchun University of Chinese Medicine, Changchun, Jilin Province, China
- 2 Guang’anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, Beijing Municipality, China
- 3 Department of Radiology, Guang’anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China
- 4 The Affiliated Hospital of Changchun University of Traditional Chinese Medicine, Changchun, China
Sigmoidovaginal fistula (SVF) is an extremely distressing and complex condition that significantly impacts a patient's quality of life. The successful management of SVF relies on accurately identifying the fistula's location and tract. However, preoperative localization can be challenging in certain cases. In this report, we describe a rare complication in a patient with stage IVA cervical cancer who developed SVF after concurrent chemoradiotherapy. Conventional diagnostic methods, including electron colonoscopy, methylene blue testing, and fistulography, were unable to locate the fistula. As an alternative, we used a non-contact hysteroscopic technique, which successfully identified the location, size, and number of fistulas. This method is particularly effective for patients with SVF, especially in postmenopausal women with narrowed or adherent vaginal tracts, women with intact hymen, and those with complex, high-grade vaginal fistulas resulting from cancer treatment with chemoradiotherapy.
Keywords: SVF, cervical cancer, Chemoradiotherapy, non-contact hysteroscopic technique, Auxiliary examination
Received: 14 Oct 2024; Accepted: 24 Feb 2025.
Copyright: © 2025 Sun, He, Yang, Wu, Yang, Wang and Fan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Yan ping Wang, The Affiliated Hospital of Changchun University of Traditional Chinese Medicine, Changchun, China
Xiu hua Fan, Guang’anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, 100053, Beijing Municipality, China
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