Related Experiment Videos
Vesicocutaneous fistula presenting as a thigh abscess
M N Banihani1, R S Al-Azab, N R Waqfi
1Department of General Surgery and Urology, Faculty of Medicine, Jordan University of Science and Technology, PO Box 851376, Amman 11185, Jordan. mohbanihani@hotmail.com
Singapore Medical Journal
|September 30, 2009
Summary
A rare thigh abscess in a 90-year-old man was linked to a urinary tract issue. This condition, a vesicocutaneous fistula, stemmed from a prior pelvic fracture and bladder injury.
Area of Science:
- Urology
- Infectious Diseases
- Trauma Surgery
Background:
- Secondary thigh abscesses are uncommon and frequently lack a clear etiology.
- Urinary tract complications can manifest years after initial trauma.
Observation:
- A 90-year-old male presented with a thigh abscess.
- The abscess was discovered to be secondary to a vesicocutaneous fistula.
Findings:
- The patient had a history of pelvic fracture and vesical injury from a road traffic accident two years prior.
- The fistula connected the bladder to the skin, leading to the abscess formation.
Implications:
- This case highlights the importance of considering delayed urinary complications after trauma.
- Vesicocutaneous fistulas, though rare, can present insidiously with secondary infections like thigh abscesses.
- Early recognition and management of such fistulas are crucial for preventing serious complications.
Related Concept Videos
01:15Veins of Lower Limbs
The human body consists of an intricate network of veins responsible for the crucial task of blood drainage from the lower limbs. These veins can be categorized into two main types: deep veins and superficial veins.
Formed by the union of the medial and lateral plantar veins, the posterior tibial vein, rising through the calf muscle, assimilates the fibular vein. The anterior tibial vein, a superior extension of the foot's dorsalis pedis vein, merges with the posterior tibial vein at the knee,...
Formed by the union of the medial and lateral plantar veins, the posterior tibial vein, rising through the calf muscle, assimilates the fibular vein. The anterior tibial vein, a superior extension of the foot's dorsalis pedis vein, merges with the posterior tibial vein at the knee,...
01:20Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
01:29Venous Thrombosis III: Interprofessional Care
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
01:26Brain Abscess l: Introduction
A brain abscess is a focal, intracerebral infection characterized by a localized collection of pus within the brain parenchyma, resulting from microbial invasion and the body’s inflammatory response. It progresses through stages: early and late cerebritis, followed by early and late capsule formation, reflecting tissue destruction, immune response, and eventual encapsulation.Etiology and PathogenesisCausative organisms vary with source and host factors, often involving polymicrobial infections,...
01:25Hemodialysis I: Introduction
Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
01:18Veins of the Abdomen and Pelvis
The human body is a complex system of interconnected parts, and the circulatory system plays a crucial role in maintaining overall health. One key component of this system is the inferior vena cava, a large vein responsible for returning blood from the abdominopelvic viscera and abdominal walls to the heart.
The inferior vena cava is fed by numerous smaller veins. The lumbar veins, for instance, drain the posterior abdominal wall, emptying both directly into the inferior vena cava and into the...
The inferior vena cava is fed by numerous smaller veins. The lumbar veins, for instance, drain the posterior abdominal wall, emptying both directly into the inferior vena cava and into the...