Vesicocutaneus fistula after cesarean section-a curious complication: Case report and review

Tatar, Burak; Erdemoğlu, Ebru; Soyupek, Sedat; Yalçın, Yakup; Erdemoğlu, Evrim

doi:10.4274/tjod.71135

Cited by 5 publications

(3 citation statements)

References 15 publications

(17 reference statements)

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“…It is noteworthy that causes of vesicocutaneous fistula are numerous and reported causes range from post-traumatic, bladder calculus, radiotherapy, post-operative, and bladder malignancy. [ 2 3 4 5 6 14 15 16 ] Other possible aetiologies of vesicoenteric or enterovesical fistula are benign conditions such as Meckel’s diverticulum and Crohn’s disease. [ 17 18 ]…”

Section: Discussionmentioning

confidence: 99%

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Post-operative vesicoenterocutaneous fistula with multiple intestinal knotting: A case report

Khalid

Umar

Abdulwahab-Ahmed

et al. 2021

J West Afr Coll Surg

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Herein is a case of a 51-year-old farmer who presented to our facility with initial leakage of urine but later urine mixed with faeces from the lower abdomen after two previous abdominal surgeries. He had an open transvesical prostatectomy due to benign prostate enlargement complicated by leakage of urine from lower abdominal wall scar. A repeat surgical intervention to correct the urine leakage was followed by recurrence of urine leakage and later by leakage of feculent urine from the lower anterior abdominal wall. At our facility, he had exploratory laparotomy with manual unknotting of ileal loops, fistula tracts excision, resection, and end-to-end ileoileal anastomosis. The bladder wall was repaired with suprapubic cystostomy. Although the finding of asymptomatic multiple small bowel knotting was incidental in the index case, its timely management averted a sitting timed bomb that may lead to a diagnostic dilemma with catastrophic consequences.

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Section: Discussionmentioning

confidence: 99%

“…Fistulae have been found to occur in a wide variety of circumstances, namely, but not limited to: post-operative,[ 2 3 4 ] post-radiation therapy,[ 5 6 ] and in a background of malignant neoplasm. [ 7 8 ] Over 80–90% of enterocutaneous fistulae arise as a consequence of iatrogenic complications of abdominal surgical interventions.…”

Section: Introductionmentioning

confidence: 99%

Post-operative vesicoenterocutaneous fistula with multiple intestinal knotting: A case report

Khalid

Umar

Abdulwahab-Ahmed

et al. 2021

J West Afr Coll Surg

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“…It is neither a common type of genitourinary fistula nor a common complication of road traffic accident/pelvic trauma. The most frequent causes are malignancies, trauma, inflammation and iatrogenic injury [2]. It may also result from radiotherapy [3].…”

Section: Introductionmentioning

confidence: 99%

Vesicocutaneous Fistula: A Rare Complication of Pelvic Trauma

Sunday-Adeoye¹,

Ekwedigwe²,

Waaldijk³

et al. 2017

OJOG

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Background: Vesicocutaneous fistula is a rare type of urinary fistula. It is often distressing and may negatively impact on the quality of life of an affected person. Our aim in this case report is to document a case of vesicocutaneous fistula following pelvic trauma from road traffic accident and share our experience in the management of this condition. Case Report: We report the case of a 30 year-old primipara who had urinary incontinence following pelvic trauma sustained from road traffic accident. Examination findings were in keeping with vesicocutaneous fistula. She subsequently had surgical repair of vesicocutaneous fistula which was successful. Conclusion: This case report highlights pelvic trauma as one of the causes of urinary fistula and the key role of surgery in its management.

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