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[The vesico-acetabular fistula].

Khaled Bacha1, Sami Ben Moualli, Helmi Saadani

  • 1Service d'Urologie, Hôpital Charles Nicolle, Boulevard 9 avril 1938, CP 1006, Tunis, Tunisie. Khaled-bacha@webmails.com

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie
|August 23, 2002
PubMed
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This case study describes the first instance of a vesico-acetabular fistula linked to septic arthritis of the left hip. Surgical intervention is the recommended treatment for this rare condition.

Area of Science:

  • Urology
  • Orthopedic Surgery
  • Infectious Diseases

Background:

  • Septic arthritis of the hip is a serious condition requiring prompt diagnosis and treatment.
  • Fistulous complications are rare but can significantly increase morbidity.

Observation:

  • A 22-year-old male presented with late-treated septic arthritis of the left hip.
  • A concurrent vesico-acetabular fistula was identified in this patient.

Findings:

  • This represents the first reported case of a vesico-acetabular fistula associated with septic hip arthritis.
  • The fistula complicated the septic arthritis, indicating a complex infectious pathway.

Implications:

  • Highlights the potential for unusual complications in late-treated septic arthritis.

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  • Emphasizes the need for thorough investigation in complex cases.
  • Surgical management is indicated for vesico-acetabular fistulas secondary to septic arthritis.