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

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Tytuł:: Delayed ileal neobladder fistula caused by bladder stones: a case report.
Autorzy:: Lu D; Department of Urology, Affiliated Sanming First Hospital, Fujian Medical University, Sanming, 365000, Fujian, China.
Wu Y; Department of Urology, Affiliated Sanming First Hospital, Fujian Medical University, Sanming, 365000, Fujian, China.
Liao S; Department of Urology, Affiliated Sanming First Hospital, Fujian Medical University, Sanming, 365000, Fujian, China.
Xie X; Department of Urology, Affiliated Sanming First Hospital, Fujian Medical University, Sanming, 365000, Fujian, China.
Zhu D; Department of Urology, Sun Yat-Sen Memorial Hospital, Sun Yat-sen, Guangzhou, 510655, Guangdong, China.
Ye S; Department of Urology, Affiliated Sanming First Hospital, Fujian Medical University, Sanming, 365000, Fujian, China. .
Źródło:: BMC urology [BMC Urol] 2022 Jun 17; Vol. 22 (1), pp. 87. Date of Electronic Publication: 2022 Jun 17.
Typ publikacji:: Case Reports; Journal Article
Język:: English
Imprint Name(s):: Original Publication: London : BioMed Central, [2001-
MeSH Terms:: Intestinal Fistula*/etiology
Intestinal Fistula*/surgery
Urinary Bladder Calculi*/etiology
Urinary Bladder Calculi*/surgery
Urinary Bladder Neoplasms*/surgery
Urinary Diversion*/adverse effects
Urinary Diversion*/methods
Aged ; Cystectomy/adverse effects ; Cystectomy/methods ; Humans ; Ileum/surgery ; Male
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Grant Information:: 2019J01588 Natural Science Foundation of Fujian Province; 2017-S-3 Sanming Science and Technology Plan Project Fund; 2019QH1258 Fujian Medical University Sailing Fund
Contributed Indexing:: Keywords: Bladder stone; Case report; Fistula; Ileal neobladder; Radical cystectomy
Entry Date(s):: Date Created: 20220617 Date Completed: 20220621 Latest Revision: 20220716
Update Code:: 20240105
PubMed Central ID:: PMC9204873
DOI:: 10.1186/s12894-022-01040-5
PMID:: 35715838
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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.
(© 2022. The Author(s).)

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