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BMC Urology
Published in: BMC Urology 1/2020

01-12-2020 | Spina Bifida | Case report

Spontaneous vesicorectal fistula: a rare complication of neurogenic bladder

Authors: Weilin Fang, Lei Xu, Jiabei Sun, Jacques Corcos, Jiayi Li

Published in: BMC Urology | Issue 1/2020

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Abstract

Background

We report a rare case of spontaneous vesicorectal fistula.

Case presentation

A 13-year-old female spina bifida patient who complained of fecal and urinary incontinence was eventually diagnosed with a spontaneous vesicorectal fistula. We hypothesized that infection, neurogenic bowel and neurogenic bladder caused her vesicorectal fistula. The patient refused the operation, and she is currently in a delicate balance.

Conclusions

Early repair of the fistula is necessary. The treatment of neurogenic bladder after fistula repair is difficult and deserves further observation and follow-up.
Literature
1.
King RM, Beart RJ, McIlrath DC. Colovesical and rectovesical fistulas. Arch Surg. 1982;117(5):680–3.CrossRefPubMed
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Najjar SF, Jamal MK, Savas JF, et al. The spectrum of colovesical fistula and diagnostic paradigm. Am J Surg. 2004;188(5):617–21.CrossRefPubMed
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Dudrick SJ, Maharaj AR, McKelvey AA. Artificial nutritional support in patients with gastrointestinal fistulas. World J Surg. 1999;23(6):570–6.CrossRefPubMed
Metadata
Title
Spontaneous vesicorectal fistula: a rare complication of neurogenic bladder
Authors
Weilin Fang
Lei Xu
Jiabei Sun
Jacques Corcos
Jiayi Li
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Urology / Issue 1/2020
Electronic ISSN: 1471-2490
DOI
https://doi.org/10.1186/s12894-020-00585-7

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