Fig. 6

61-year-old female patient with history of colon cancer, underwent surgical resection and ileostomy, received chemo and radiotherapy, complained of vaginal discharge, and was referred for assessment by MRI with administration of rectal gel. A Sagittal STIR weighted image revealed passage of the injected rectal gel to the hysterectomy stump with evidence of fistulous communication (white arrow) seen anteriorly at the mid rectum communicating with the posterior surface of the upper aspect of the hysterectomy stump. B, C and D Coronal T2, axial T2 and STIR weighted images show mild mural thickening and stricture of the left distal ureter (black arrow) and subsequent moderate hydroureter showing in situ double-J stent (arrowhead), mild vesical mural thickening (yellow arrow) and stranding of the peri-vesical fat planes also noted as well as pre-sacral soft tissue sheets (post radiation changes). Accordingly, the surgical management plan was fistulectomy and postponing the stoma reversal