Research ArticleOpen AccessGoogle Scholar indexed
Isolated Caeco-Vesical Fistula: A Case Report
Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of Congo
Urology and Andrology Department, University Hospital Center, Brazzaville, Republic of Congo
Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of Congo
Visceral Surgery Department, University Hospital Center, Brazzaville, Republic of Congo
Medical Imaging Department, University Hospital Center, Brazzaville, Republic of Congo
Multipurpose Resuscitation Department, University Hospital Center, Brazzaville, Republic of Congo
Pediatric Surgery Department, University Hospital Center, Brazzaville, Republic of Congo
Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of Congo
Pediatric Intensive Care Unit, University Hospital Center, Brazzaville, Republic of Congo
Pediatric Surgery Department, University Hospital Center, Brazzaville, Republic of Congo
Pediatric Surgery Department, University Hospital Center, Brazzaville, Republic of Congo
Pediatric Surgery Department, University Hospital Center, Brazzaville, Republic of Congo
Pediatric Surgery Department, University Hospital Center, Brazzaville, Republic of Congo
Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of Congo
Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of Congo
- 1 Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of Congo
- 2 Urology and Andrology Department, University Hospital Center, Brazzaville, Republic of Congo
- 3 Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of Congo
- 4 Visceral Surgery Department, University Hospital Center, Brazzaville, Republic of Congo
- 5 Medical Imaging Department, University Hospital Center, Brazzaville, Republic of Congo
- 6 Multipurpose Resuscitation Department, University Hospital Center, Brazzaville, Republic of Congo
- 7 Pediatric Surgery Department, University Hospital Center, Brazzaville, Republic of Congo
- 8 Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of Congo
- 9 Pediatric Intensive Care Unit, University Hospital Center, Brazzaville, Republic of Congo
- 10 Pediatric Surgery Department, University Hospital Center, Brazzaville, Republic of Congo
- 11 Pediatric Surgery Department, University Hospital Center, Brazzaville, Republic of Congo
- 12 Pediatric Surgery Department, University Hospital Center, Brazzaville, Republic of Congo
- 13 Pediatric Surgery Department, University Hospital Center, Brazzaville, Republic of Congo
- 14 Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of Congo
- 15 Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of Congo
Open Journal of Urology·Volume 10 (2020)·Pages 309–314·Published 25 December 2020·DOI10.4236/oju.2020.1012036
Copy link · social · email
Abstract
Congenital uro or genito-digestive fistulas are frequently found in the context of caudal pole malformations. Isolated congenital forms without associated anorectal malformation have not been reported until now. We report the first case we know a 9 year old female child received in a pediatric surgery consultation for fecaluria evolving since birth with a permeable anus. She presented a good general condition, a good staturo-ponderal and psychomotor development, a vulva soiled by stool and a permeable anus with a tonic sphincter. A retrograde urethrocystography revealed a caeco-vesical fistula. Surgery consisted of ligation-section of the caeco-vesical septum. A follow-up urethrocystography at three months post-surgery no longer visualized the fistula. Our post-operative follow-up is 4 years. Isolated congenital caeco-vesical fistula is an unknown pathology whose late diagnosis can have serious repercussions.
KeywordsFistulaCongenitalIsolatedCaecumBladderChildSurgery
- Chadha, R. and Khan, N.A. (2017) Congenital Pouch Colon. Journal of Indian Association of Pediatric Surgeon, 22, 69-78. https://doi.org/10.4103/jiaps.JIAPS_5_17
- Pandey, V., Gangopadhyay, A.N., Gupta, D.K. and Sharma, S.P. (2015) Single Stage Management of a Unique Variant of Congenital Pouch Colon with Triplet Fistula and Normal Anus. Journal of Indian Association of Pediatric Surgeons, 20, 148-149. https://doi.org/10.4103/0971-9261.154665
- Makni, A., Ahmed, S., Sami, K., Chebbi, F., Rebai, W., Ksantini, R., Fteriche, F., Jouini, M., Kacem, M., Azza, F., Safta, Z.B. and Makn, A. (2014) Surgical Treatment of Entero-Vesical Fistulas Secondary to Crohn Disease. La Tunisie Médicale, 92, 197-200.
- Anis, B.M. (2015) Colo-Vesical Fistulas of Diverticular Origin: 2 Case Reports. La Tunisie Chirurgicale, 25, 8-10.
- Giovanni, L. and Roger, R. (2007) Caecovesical Fistula. A Rare Manifestation of Carcinoma of Caecum. The New Zealand Medical Journal, 120, U2634.
- Vincent, P.J., Bhalla, V.P., Gill, M. and Salopal, T.K. (2000) A Case of Entero-Vesical Fistula. Medical Journal Armed Forces India, 56, 61-63. https://doi.org/10.1016/S0377-1237(17)30097-7
- Yddoussalah, O., Saouli, A., El Ouazzani, H., Karmouni, T., Elkhader, K., Koutani, A., Andaloussi, A.I.A. and Mahassini, N. (2018) Vesico-Sigmoid Fistula Complicating a Bladder Bilharziasis: An Exceptional Case Report. African Journal of Urology, 24. 402-405. https://doi.org/10.1016/j.afju.2018.06.004
- Lahyani, M., Jabbour, Y., Karmouni, T., Elkhader, K., Koutani, A. and Andaloussi, A.I. (2014) Vesico-Sigmoid Fistula Complicating Intestinal Hydatidosis: About a Rare Case. The Pan African Medical Journal, 19, 117. https://doi.org/10.11604/pamj.2014.19.117.5220
- Le Bayon, A.G., Carpentier, E., Boscq, M., Lardy, H. and Sirnelli, D. (2010) Imaging of Anorectal Malformations in the Neonatal Period. Journal de Radiologie, 91, 475-483. https://doi.org/10.1016/S0221-0363(10)70062-7
- Hutson, J., Peña, A., Beket, E., Chatterjee, S., Coran, A., Davies, M., Georgeson, K., Grosfeld, J., Gupta, D., Iwai, N., Kluth, D., Martucciello, G., Moore, S., Rintala, R., Durham Smith, E., Sripathi, D.V., Stephens D. and Kunst, M. (2005) Preliminary Report on the International Conference for the Development of Standards for the Treatment of Anorectal Malformations. Journal of Pediatric Surgery, 40, 1521-1526. https://doi.org/10.1016/j.jpedsurg.2005.08.002
- Tiguert, R., Gheiler, E.L., Tefilli, M.V., Wood Jr, D.P. and Edson Pontes, P.J. (1998) Treatment of Colo-Vesical Fistulas in a Single Operation. Progress in Urology, 8, 507-510.