Persistent ischiorectal fistula secondary to rectal extrusion of posterior vaginal mesh: Case report.

Introduction And Hypothesis: Vaginal mesh has been used for years to try to improve the results of pelvic organ prolapse surgery, but current evidence does not confirm this improvement and instead describes serious and frequent adverse events.

Clinical Case: 64-year-old patient with rectal extrusion of posterior vaginal mesh placed 8 years earlier, and persistent left ischiorectal fistula refractory to surgery. She required 5 surgeries, carried out jointly between gynecology and general surgery, to solve, firstly, the bilateral perianal abscess secondary to extrusion of the posterior vaginal mesh into the rectum and then the persistent left ischiorectal fistula, despite the removal of the material prosthetic.

[Metástasis cutánea de cáncer de colon: una forma de presentación inusual y tardía a tener en cuenta].

IntroducciÓn: El cáncer colorrectal es un gran problema de salud por su alta incidencia y mortalidad. Las metástasis cutáneas son raras, con una incidencia < 5%.

Caso ClÍnico: Varón con antecedente de colectomía por neoplasia de colon que 6 años después presenta una lesión cutánea.