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We report an unusual case of Conduit Perineal Fistula following Anterior Pelvic Exenteration and Ileal conduit, performed for cancer cervix in a patient who had post radiotherapy residual disease. Revision surgery and redo conduit with transverse colon was done. Patient tolerated the procedure well and postoperative period was uneventful. Patient was subsequently disease free for 27 months. She developed a pelvic recurrence and lived with the disease for another 36 months and was then lost to follow up.

Unusual Late Complication Following Anterior Pelvic Exenteration and Ileal Conduit