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BMC Urology

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Open Access 01-12-2022 | Acute Gastroenteritis | Case report

Delayed ileal neobladder fistula caused by bladder stones: a case report

Authors: Dongming Lu, Yongyang Wu, Shangfan Liao, Xueping Xie, Dingjun Zhu, Shuchao Ye

Published in: BMC Urology | Issue 1/2022

Abstract

Background

Ileal neobladder fistula is a rare complication after radical cystectomy, with an incidence of approximately 0.7%. At present, there are scattered reports of vesicoileal fistula, but there are no reports of ileal neobladder fistula (INF) caused by bladder stones. In this paper, a case of ileal neobladder fistula caused by chronic stimulation of bladder stones was successfully diagnosed and treated.

Case presentation

A 68-year-old man who had undergone radical cystectomy and an orthotopic ileal neobladder procedure 10 years prior presented with refractory diarrhoea and oliguria and was diagnosed with ileal neobladder fistula caused by chronic stimulation of bladder stones. We performed fistulectomy, cystotomy, partial ileectomy, and end-to-end ileal anastomosis, and the patient recovered and was discharged after the operation.

Conclusion

Urinary calculi are delayed complications of orthotopic neobladder construction after total cystectomy. Bladder stones are a rare complication of ileal neovesical fistula, which can cause neovesical cutaneous fistula. It is difficult to diagnose through routine examination and easily misdiagnosed as acute gastroenteritis. Surgery is an effective treatment for INF and can achieve a good prognosis.

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Title: Delayed ileal neobladder fistula caused by bladder stones: a case report
Authors: Dongming Lu
Yongyang Wu
Shangfan Liao
Xueping Xie
Dingjun Zhu
Shuchao Ye
Publication date: 01-12-2022
Publisher: BioMed Central
Keywords: Acute Gastroenteritis
Cystectomy
Diarrhea
Acute Gastroenteritis
Diarrhea
Published in: BMC Urology / Issue 1/2022
Electronic ISSN: 1471-2490
DOI: https://doi.org/10.1186/s12894-022-01040-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Delayed ileal neobladder fistula caused by bladder stones: a case report

Abstract

Background

Case presentation

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusion

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