ENDOSCOPIC VACUUM-ASSISTED CLOSURE THERAPY FOR NECROTIZING INFECTION AFTER PELVIC EXENTERATION

A 52-year-old female patient, with a personal history of cervical cancer, presented a lymphatic relapse with mesorectum and left ureter invasion, after 8 years of follow-up. In the postoperative period of pelvic exenteration, the patient presented fever and exudate drainage through the vagina. CT scan revealed a pelvic necrotic cavity that communicated with the vagina. Intravenous antibiotics were initiated, as well as endoscopic vacuum-assisted closure therapy through the vagina. After 13 sessions of vacuum therapy, the patient was discharged. During an 18-month follow-up the patient remained asymptomatic and endoscopic evaluation showed a residual cavity with no infectious sings.