Vesicoenteric Fistula due to Bladder Squamous Cell Carcinoma

Kang, Yu; Park, Dong Jin; Kim, Soon; Kim, Sung Woo; Lee, Kyung Seop; Choi, Nak Gyeu; Kim, Ki Ho

doi:10.4111/kju.2014.55.7.496

Cited by 1 publication

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References 8 publications

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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%

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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