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Vesicocutaneous fistula arising from a bladder diverticulum
T A Kishore1, S Bhat, P R John
1Department of Urology, Government Medical College, Kottayam, Kerala, India. kishoreta@yahoo.com
Indian Journal of Medical Sciences
|July 1, 2005
Summary
A rare case of a long-standing vesicocutaneous fistula, originating from a bladder diverticulum and presenting as urinary leakage in the groin, was successfully treated. Surgical intervention involving diverticulectomy and fistula excision resolved the patient's chronic symptoms.
Area of Science:
- Urology
- Surgical Case Report
Background:
- Urinary tract infections and urinary leakage can arise from complex anatomical abnormalities.
- Bladder diverticula, outpouchings of the bladder wall, can harbor stones and lead to complications.
Observation:
- A 55-year-old male presented with a 50-year history of intermittent urinary leakage through the left groin.
- Imaging revealed a bladder diverticulum with a calculus communicating with a left groin fistula, likely iatrogenic from childhood abscess drainage.
Findings:
- The patient suffered from recurrent urinary tract infections and chronic urinary leakage.
- Diagnostic evaluations including intravenous urogram, voiding cystourethrogram, and cystoscopy confirmed the vesicocutaneous fistula secondary to bladder diverticulum.
Implications:
- This case highlights the extreme rarity of long-standing vesicocutaneous fistulas originating from bladder diverticula.
- Successful surgical management (diverticulectomy and fistula excision) offers a definitive treatment for such complex conditions.
- This presentation, potentially iatrogenic from childhood groin surgery, has not been previously reported in medical literature.