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JAMA Dec 1977
Topics: Colonic Neoplasms; Crohn Disease; Diagnosis, Differential; Diverticulitis; Humans; Radiography; Urinary Bladder Fistula
PubMed: 579217
DOI: No ID Found -
BMC Surgery Apr 2021Fistula formation due to mesh erosion into hollow viscera, such as the urinary bladder, is uncommon. To date, there have been no reports of fistula formation into the...
BACKGROUND
Fistula formation due to mesh erosion into hollow viscera, such as the urinary bladder, is uncommon. To date, there have been no reports of fistula formation into the urinary bladder without evidence of mesh erosion after hernioplasty; herein, we report one such rare case, in which the clinical symptoms improved without any surgical intervention.
CASE PRESENTATION
A 73-year-old man underwent a trans-abdominal preperitoneal repair for bilateral direct inguinal hernia. One month later, the patient experienced a painful induration in the right inguinal region, and computed tomography revealed fluid collection in this region. A culture of the aspirated fluid yielded no bacteria. Seven months later, he experienced another episode of painful induration in the same region. However, blood examination revealed a normal white blood cell count and C-reactive protein level. Moreover, no organisms were detected by aspirated fluid culture. Although the painful induration subsided after aspiration of the fluid collection, he developed gross hematuria and dysuria a month later. Cystoscopy revealed a fistula in the right wall of the urinary bladder that discharged a purulent fluid. Culture of the fluid revealed no bacteria, and there was no evidence of mesh erosion. Hematuria improved without therapeutic or surgical intervention. The patient's clinical symptoms improved without mesh removal. Moreover, cystoscopy revealed that the fistula was scarred 12 months after the initial appearance of urinary symptoms. No further complications were observed during a 42-month follow-up period.
CONCLUSIONS
We report a rare case of a fistula in the urinary bladder without evidence of mesh erosion after laparoscopic hernioplasty. The patient's condition improved without mesh removal. Fluid collection due to foreign body reaction to meshes can cause fistula formation in the urinary bladder without direct mesh contact.
Topics: Aged; Hernia, Inguinal; Herniorrhaphy; Humans; Laparoscopy; Male; Urinary Bladder Fistula
PubMed: 33827542
DOI: 10.1186/s12893-021-01183-6 -
BMC Surgery Jul 2019Enterovesical fistula (EVF) is a abnormal connection between the intestine and the bladder. The aim of the study was to analyze whether closure of the defect in the...
BACKGROUND
Enterovesical fistula (EVF) is a abnormal connection between the intestine and the bladder. The aim of the study was to analyze whether closure of the defect in the bladder wall during surgery is always necessary.
METHODS
Fifty-nine patients with benign EVF undergoing surgical treatment were enrolled. A one-stage surgical procedure was performed in all patients. After the separation of the diseased bowel segment, methylene blue was introduced. Through a catheter into the bladder. Only patients with urinary bladder leakage were sutured.
RESULTS
The most common intestinal fistula involving the urinary bladder was colovesical fistula, observed in 53% of cases. Two-thirds of patients had diverticular disease as the underlying pathology. There was no relationship between suturing of the bladder and perioperative complications. Recurrent EVF was observed in one patient with bladder suturing and in two patients without suture.
CONCLUSIONS
These findings suggest that closure of the bladder defect is not necessary in cases where a leak is not demonstrated from the bladder intraoperatively. This study is limited by its retrospective design and small numbers and a randomized controlled trial is recommended to answer this question definitively.
Topics: Adult; Aged; Female; Humans; Intestinal Fistula; Male; Middle Aged; Retrospective Studies; Suture Techniques; Urinary Bladder; Urinary Bladder Fistula
PubMed: 31286905
DOI: 10.1186/s12893-019-0542-4 -
Journal of Obstetrics and Gynaecology... May 2020Vesicouterine fistulas are the rarest of all urogenital fistulas, with most cases occurring after cesarean section.
BACKGROUND
Vesicouterine fistulas are the rarest of all urogenital fistulas, with most cases occurring after cesarean section.
CASE
A 38-year-old woman in rural Zimbabwe presented at 20 weeks gestation with a suspected fetus in the urinary bladder by transabdominal ultrasonography. This finding was confirmed intraoperatively together with a vesicouterine fistula. Cesarean section 20 years earlier was the only risk factor. Diagnosis was delayed for lack of access to appropriate imaging and a tertiary facility.
CONCLUSION
A vesicouterine fistula is a rare presentation in the context of an advanced health care system. To our knowledge, this is the fourth case report of a fetus in the bladder secondary to vesicouterine fistula. Patient morbidity in this case possibly could have been avoided with earlier diagnosis and access to care.
Topics: Adult; Cesarean Section; Female; Fetus; Humans; Pregnancy; Pregnancy Outcome; Ultrasonography; Urinary Bladder Fistula; Uterine Diseases
PubMed: 31679917
DOI: 10.1016/j.jogc.2019.06.010 -
The New England Journal of Medicine Jun 2019
Topics: Aged; Cystoscopy; Diverticulitis; Humans; Intestinal Fistula; Urinary Bladder Fistula
PubMed: 31242365
DOI: 10.1056/NEJMicm1900267 -
Asian Journal of Surgery Nov 2020
Topics: Adult; Cystoscopy; Device Removal; Digestive System Surgical Procedures; Female; Humans; Ileal Diseases; Intestinal Fistula; Intrauterine Devices; Laparotomy; Pregnancy; Tomography, X-Ray Computed; Urinary Bladder Fistula; Urologic Surgical Procedures
PubMed: 32873470
DOI: 10.1016/j.asjsur.2020.08.003 -
International Urogynecology Journal Jun 2022This video demonstrates surgical repair of a vesicouterine fistula via a robotic, uterine-sparing approach.
INTRODUCTION AND HYPOTHESIS
This video demonstrates surgical repair of a vesicouterine fistula via a robotic, uterine-sparing approach.
METHODS
In this video, we present a vesicouterine fistula, which occurred after cesarean delivery. The patient presented with cyclical hematuria 4 years following delivery. She underwent uterine-conserving robotic repair via excision of the fistula tract through an intentional cystotomy. The uterus and bladder were closed in multiple layers.
RESULTS
The patient tolerated the procedure well, and CT cystogram 6 weeks following surgery demonstrated no concern for defect or recurrent fistulization. The patient was asymptomatic 9 months following her procedure.
CONCLUSION
Repair of a vesicouterine fistula may be safely completed via a minimally invasive approach without need for routine hysterectomy.
Topics: Female; Fistula; Humans; Pregnancy; Robotic Surgical Procedures; Robotics; Urinary Bladder Fistula; Uterine Diseases
PubMed: 34374804
DOI: 10.1007/s00192-021-04940-6 -
JPMA. the Journal of the Pakistan... Sep 2011Vesicocutaneous fistula, a very distressing condition has a tremendous impact on the quality of life of the patient. We report the case of a 30 years old woman , who had...
Vesicocutaneous fistula, a very distressing condition has a tremendous impact on the quality of life of the patient. We report the case of a 30 years old woman , who had caesarean hysterectomy after her third emergency caesarean section . She later developed abdominal wound infection which required resuturing. Since then she had been suffering from recurrent urinary tract infections and urinary leak through the abdominal wound during micturition. Urine analysis, urine culture, intravenous urogram, (IVU), voiding cystourethrogram (VCU), cystoscopy, and sinogram done in our institution revealed communication between urinary bladder and cutaneous opening in left edge of abdominal scar. Bladder was catheterized for 03 weeks and aseptic dressing on abdominal defect was done for the same duration. Antibiotics were also advised. Full recovery was achieved.
Topics: Adult; Catheters, Indwelling; Cutaneous Fistula; Female; Humans; Rare Diseases; Urinary Bladder Fistula; Urinary Catheterization
PubMed: 22360039
DOI: No ID Found -
Tropical Doctor Apr 2005
Topics: Cesarean Section; Female; Humans; Pregnancy; Urinary Bladder Fistula; Uterine Diseases
PubMed: 15970051
DOI: 10.1258/0049475054037138 -
BJU International Jul 2005
Topics: Diagnosis, Differential; Female; Humans; Ureteral Diseases; Urinary Bladder Fistula; Urinary Fistula; Vesicovaginal Fistula
PubMed: 15963154
DOI: 10.1111/j.1464-410X.2005.05656_4.x