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enterovesical Fistula Complicating Myomectomy: A Case Report

Open Journal of Urology 2017年第4期7卷 75-78页

作者： K. C. Ekwedigwe I. Sunday-Adeoye S. Lengman M. E. Isikhuemen A. B. C. Daniyan E. N. Yakubu M. O. Eliboh I. E. A. Uguru National Obstetric Fistula Centre Abakaliki Nigeria

Background: enterovesical fistula is an abnormal communication between the bladder and the gastrointestinal tract. It is an uncommon type of genital fistula, occasionally complicating pelvic surgeries. However, it is the most common type of fistula associated with diverticular disease of the colon. Other causes include cancer, trauma and iatrogenic injuries. Pneumaturia and fecaluria usually implies enterovesical fistula. enterovesical fistula complicating myomectomy is an uncommon finding. Our aim is to report a case of enterovesical fistula following myomectomy. Case presentation: She is a 33-year-old nullipara who presented at the National Obstetric Fistula Centre, Abakaliki, Ebonyi State, South-Eastern Nigeria with a history of fecaluria, pneumaturia and haematochezia which started after myomectomy. Feculent fluid was obtained on urethral catheterization. Cystography was suggestive of enterovesical fistula. Conclusion: enterovesical fistula is a possible complication of myomectomy. A high index of suspicion for this rare but potentially devastating condition is important for early diagnosis and appropriate management.

关键词： enterovesical Fistula Myomectomy Uterine Fibroid

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Radical cystectomy and en-bloc resection of enterovesical fistula from bladder cancer

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World Journal of Clinical Urology 2017年第1期6卷 30-33页

作者： Zi Qin Ng Willy KW Low Sathiyananthan Jr Pradeep Subramanian Joel Stein Department of General Surgery Royal Perth Hospital Department of Urology Royal Perth Hospital

enterovesical fistulae secondary to benign or malignant bowel disease are not uncommonly reported in the literature. However,bladder malignancy as the primary pathology is exceedingly rare. We report a case of muscle invasive urothelial carcinoma of bladder with an enterovesical fistula to a loop of small bowel. The patient first presented with signs and symptoms of per rectal bleeding,haematuria,pneumaturia,faecaluria and rectal micturition. Her initial biochemistry test revealed significant metabolic acidosis with normal anion gap and hypokalemia. A computed tomography abdomen/pelvis with rectal contrast demonstrated an enterovesical fistula from the dome of bladder to a loop of small bowel. The patient underwent radical cystectomy with enbloc resection of a loop of involved ileum and sigmoid colon due to the intraoperative findings of the sigmoid colon adherent to the tumour. The published literature is reviewed,focusing on the incidence,diagnostic modality and treatment strategies available for this rare condition.

关键词： Bladder cancer enterovesical fistula Enbloc resection Malignant fistula Urothelial carcinoma

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Appendico-vesicocolonic fistula:A case report and review of literature

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World Journal of Clinical Cases 2022年第10期10卷 3241-3250页

作者： Han Yan Ying-Chao Wu Xin Wang Yu-Cun Liu Shuai Zuo Peng-Yuan Wang Department of General Surgery Peking University First HospitalBeijing 100032China

BACKGROUND Appendico-vesicocolonic fistulas and appendiceal-colonic fistulas are two kinds of intestinal and bladder diseases that are rarely seen in the *** our knowledge,no more than 4 cases of appendico-vesicocolonic fistulas have been publicly reported throughout the world,and no more than 100 cases of appendiceal-colonic fistulas have been *** the overall incidence is low,an early diagnosis is difficult due to their atypical initial symptoms,but these diseases still require our *** SUMMARY Here,we report a case of a 77-year-old male patient diagnosed with an appendico-vesicocolonic fistula combined with an appendiceal-colonic *** main manifestations were diarrhea and urine that contained fecal *** diagnosis was confirmed by multiple laboratory and imaging examinations.A routine urinalysis showed red blood cells and white blood *** and pelvic computed tomography scans showed close adhesions between the bowels and the bladder,and fistulas could be *** and cystoscopy and some other imaging examinations clearly showed *** preoperative diagnoses were a colovesical fistula and an appendiceal-colonic *** fistulas were repaired by laparoscopic surgical *** diseased bowel and part of the bladder wall were removed,followed by a protective *** postoperative diagnosis was an appendico-vesicocolonic fistula combined with an appendiceal-colonic fistula,and the pathology suggested inflammatory *** patient recovered well after surgery,and all his symptoms *** The final diagnosis in this case was a double fistula consisting of an appendicovesicocolonic fistula combined with an appendiceal-colonic fistula.

关键词： Appendico-vesicocolonic Appendiceal-colonic enterovesical Fistula Laparoscopic surgery Case report

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