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

被引：0

作者：

Lu, Dongming ^{[1
]}

Wu, Yongyang ^{[1
]}

Liao, Shangfan ^{[1
]}

Xie, Xueping ^{[1
]}

Zhu, Dingjun ^{[2
]}

Ye, Shuchao ^{[1
]}

机构：

[1] Fujian Med Univ, Affiliated Sanming Hosp 1, Dept Urol, Sanming 365000, Fujian, Peoples R China

[2] Sun Yat Sen, Sun Yat Sen Mem Hosp, Dept Urol, Guangzhou 510655, Guangdong, Peoples R China

来源：

BMC UROLOGY | 2022年 / 22卷 / 01期

关键词：

Ileal neobladder; Fistula; Radical cystectomy; Bladder stone; Case report;

D O I：

10.1186/s12894-022-01040-5

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页数：4