Delayed ileal neobladder fistula caused by bladder stones: a case report
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...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-06-01
|
| Series: | BMC Urology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12894-022-01040-5 |
| _version_ | 1811241220408606720 |
|---|---|
| author | Dongming Lu Yongyang Wu Shangfan Liao Xueping Xie Dingjun Zhu Shuchao Ye |
| author_facet | Dongming Lu Yongyang Wu Shangfan Liao Xueping Xie Dingjun Zhu Shuchao Ye |
| author_sort | Dongming Lu |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-12T13:33:16Z |
| format | Article |
| id | doaj.art-dc1e442d0895444eba7f809896d27bca |
| institution | Directory Open Access Journal |
| issn | 1471-2490 |
| language | English |
| last_indexed | 2024-04-12T13:33:16Z |
| publishDate | 2022-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Urology |
| spelling | doaj.art-dc1e442d0895444eba7f809896d27bca2022-12-22T03:31:07ZengBMCBMC Urology1471-24902022-06-012211410.1186/s12894-022-01040-5Delayed ileal neobladder fistula caused by bladder stones: a case reportDongming Lu0Yongyang Wu1Shangfan Liao2Xueping Xie3Dingjun Zhu4Shuchao Ye5Department of Urology, Affiliated Sanming First Hospital, Fujian Medical UniversityDepartment of Urology, Affiliated Sanming First Hospital, Fujian Medical UniversityDepartment of Urology, Affiliated Sanming First Hospital, Fujian Medical UniversityDepartment of Urology, Affiliated Sanming First Hospital, Fujian Medical UniversityDepartment of Urology, Sun Yat-Sen Memorial HospitalDepartment of Urology, Affiliated Sanming First Hospital, Fujian Medical UniversityAbstract 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.https://doi.org/10.1186/s12894-022-01040-5Ileal neobladderFistulaRadical cystectomyBladder stoneCase report |
| spellingShingle | Dongming Lu Yongyang Wu Shangfan Liao Xueping Xie Dingjun Zhu Shuchao Ye Delayed ileal neobladder fistula caused by bladder stones: a case report BMC Urology Ileal neobladder Fistula Radical cystectomy Bladder stone Case report |
| title | Delayed ileal neobladder fistula caused by bladder stones: a case report |
| title_full | Delayed ileal neobladder fistula caused by bladder stones: a case report |
| title_fullStr | Delayed ileal neobladder fistula caused by bladder stones: a case report |
| title_full_unstemmed | Delayed ileal neobladder fistula caused by bladder stones: a case report |
| title_short | Delayed ileal neobladder fistula caused by bladder stones: a case report |
| title_sort | delayed ileal neobladder fistula caused by bladder stones a case report |
| topic | Ileal neobladder Fistula Radical cystectomy Bladder stone Case report |
| url | https://doi.org/10.1186/s12894-022-01040-5 |
| work_keys_str_mv | AT dongminglu delayedilealneobladderfistulacausedbybladderstonesacasereport AT yongyangwu delayedilealneobladderfistulacausedbybladderstonesacasereport AT shangfanliao delayedilealneobladderfistulacausedbybladderstonesacasereport AT xuepingxie delayedilealneobladderfistulacausedbybladderstonesacasereport AT dingjunzhu delayedilealneobladderfistulacausedbybladderstonesacasereport AT shuchaoye delayedilealneobladderfistulacausedbybladderstonesacasereport |