GASTROCYSTOPLASTY, A WRONG CHOICE IN AN ADULT CASE

A 28-year-old woman presented a huge vesico-vagino-rectal fistula afte r radiotherapy because of a gynecological tumour. Reconstruction consi sted of a colostomy, closure of the rectal hole with a pedicled perine al skin graft, a bivalve opening of the bladder and, with the two valv es coverage of the vaginal suture line, and augmentation gastrocystopl asty. The fistulas healed but the patient suffered from an intolerable burning sensation, that is why the stomach wall was removed and urete ro-ileo-cutaneostomy was created. The colostomy was closed, and the pa tient now has a well functioning urine stoma.