Vesicocutaneous fistula due to vesical diverticulitis with stones: A case report and literature review

IJU Case Reports

article

Jun Akatsuka¹  Kyota Suzuki¹  Shunsuke Ikuma¹  Masato Yanagi¹  Yuki Endo¹  Hayato Takeda¹  Yuka Toyama¹  Teruyuki Dohi²  Go Kimura¹  Yukihiro Kondo¹ 

[1] Department of Urology, Nippon Medical School;Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School

关键词: calculi;    diverticulum;    urinary bladder;    vesicocutaneous fistula;   

DOI  :  10.1002/iju5.12546

学科分类：社会科学、人文和艺术（综合）

来源: Wiley

【 摘 要 】

IntroductionWe encountered an extremely rare case of a vesicocutaneous fistula due to vesical diverticulitis with stones. Case presentationA 78-year-old male patient presented to our department with complaints of suppurative discharge in the suprapubic area. Computed tomography revealed an enlarged prostate, a vesical diverticulum with stones located on the ventral side, and an aberrant connection between the anterior bladder wall and the external surface of the skin. The patient was diagnosed with a vesicocutaneous fistula due to vesical diverticulitis and was successfully treated with a multidisciplinary approach including vesical diverticulectomy with stone removal and nonviable tissue debridement. The patient continues to receive regular outpatient follow-ups with urinary catheter changes. ConclusionVesicocutaneous fistulas due to vesical diverticulitis with stones are extremely rare. We should be aware that a vesical diverticulum with stones located on the ventral side might pose a high-risk factor for the formation of a vesicocutaneous fistula in elderly patients.

【 授权许可】

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