Vesicocutaneous Fistula: A Rare Complication of Pelvic Trauma

Sunday-Adeoye, Ileogben; Ekwedigwe, Kenneth Chinedu; Waaldijk, Kees; Daniyan, A. B. C.; Isikhuemen, M. E.; Eliboh, M. O.; Uguru, S. M.; Okenwa, S. C.

doi:10.4236/ojog.2017.72026

Cited by 3 publications

(2 citation statements)

References 4 publications

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“…Management depends on the presenting symptoms, the complexity of the fistula and the underlying cause [14]. Urinary diversion to reduce the hydrostatic pressure of the bladder is vital therefore urethral catheter was kept for 21 days in our case.…”

Section: Discussionmentioning

confidence: 90%

An unusual presentation of penetrating bladder injury with vesicocutaneous fistula: a case report

et al. 2023

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Background Blunt trauma to the urinary bladder is common with penetrating injury being a rare occasion. Most common entry pint for penetrating injuries includes buttock, abdomen and perineum with thigh being rare. There are a number of complications that may develop as a result of penetrating injury with vesicocutanous fistula being a rare occurrence that usually presents with typical sign and symptoms. Case presentation We present a rare case of penetrating bladder injury through medial upper thigh as an entry point that had complicated into vesicocutaneous fistula with atypical presentation of long-standing pus discharge that had been managed by incision and drainage several times with no success. MRI demonstrated a presence of fistula tract and a foreign body (piece of wood) in-situ confirmed the diagnosis. Conclusion Fistulas are a rare complication of bladder injuries and can cause negative impact on the quality of life of patients. Delayed urinary tract fistulations and secondary thigh abscesses are uncommon therefore a high index of suspicion is needed for early diagnosis. This case emphasizes the importance of radiological tests in aiding the diagnosis and ultimately proper management.

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Section: Discussionmentioning

confidence: 90%

An unusual presentation of penetrating bladder injury with vesicocutaneous fistula: a case report

et al. 2023

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“…The location of the fistula and the amount of output determine the extent of electrolyte loss. As research has highlighted [2,3], swift correction of any identified derangements is imperative.…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with Management Outcomes of Enterocutaneous Fistula Patients at the University of Dodoma Affiliated Teaching Hospitals

Nicholaus Mrimi,

Masumbuko Yatembela

2023

Int J Surg Res Pract

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Background: Enterocutaneous fistula (ECF) poses a significant challenge to surgeons following abdominal surgeries. This study aimed to evaluate the factors associated with management outcomes of ECF patients. Methods:This was a longitudinal analytical study conducted at 3 tertiary hospitals, from August 2022 to July 2023. A non-probability sampling technique was used, and data analysis was performed using SPSS version 26. Results:The study included 60 patients with a mean age of 40.3 ± 14.5 years, with over one-third of participants aged 45 years and above. Of all patients, 82% experienced unfavorable outcomes, with 30% succumbing to death, while 73.3% of survivors experienced an extended hospital stay due to ECF-related complications. Multivariate logistic regression analysis identified small bowel ECF (AOR: 18, 95% CI: 1.311-260.3), anemia with a hemoglobin level below 11 g/dL (AOR: 6, 95% CI: 1.115-32.42), and age above 45-years-old (AOR: 24, 95% CI: 1.268-457.5) as independent predictors of unfavorable outcomes in patients. Conclusion:Enterocutaneous fistula is not an uncommon complication among patients who have undergone abdominal surgery. Small bowel enterocutaneous fistulas, age above 45 years, and anemia with a hemoglobin level below 11 g/dl are significant factors associated with unfavorable outcomes among patients with ECF. These findings emphasize the complex nature of managing ECF and the crucial role of addressing both the primary condition and its associated complications to enhance patient outcomes.

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A Vesicocutaneous Fistula Treated With Urinary Diversion, Negative Pressure Wound Therapy, and Time

Al-Hajj,

Hamze,

El Koubayati

et al. 2024

Cureus

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A 38-year-old motor vehicle accident victim presented for acute urinary retention due to a clogged Foley catheter, which was inserted two weeks prior during surgery for pelvic and spine fixation and extraperitoneal bladder rupture. Imaging studies revealed persistent bladder leaks despite primary and, later, secondary surgical repair. A combination of novel non-surgical techniques, that is, urinary diversion, negative pressure dressings, and waiting proved beneficial in our case, and led ultimately to complete clinical and radiological resolution of the fistula.

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Vesicocutaneous Fistula: A Rare Complication of Pelvic Trauma

Cited by 3 publications

References 4 publications

An unusual presentation of penetrating bladder injury with vesicocutaneous fistula: a case report

An unusual presentation of penetrating bladder injury with vesicocutaneous fistula: a case report

Factors Associated with Management Outcomes of Enterocutaneous Fistula Patients at the University of Dodoma Affiliated Teaching Hospitals

A Vesicocutaneous Fistula Treated With Urinary Diversion, Negative Pressure Wound Therapy, and Time

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