Related Experiment Videos
Enterovesical fistula from Meckel's diverticulum in a patient with Crohn's ileitis
1Department of Surgery, St. Elizabeth's Hospital, Brighton, Massachusetts 02135.
Abstract:
Formation of a fistula from a Meckel's diverticulum to the bladder is extremely rare and may not be recognized, especially in patients with other gastrointestinal disease. We describe a patient with Crohn's ileitis who was assumed to have two enterovesical fistulae from his diseased ileum. Laparotomy revealed a Meckel's diverticulum with fistulization to the bladder. The diverticulum contained inflamed and ulcerated ectopic gastric mucosa but was not affected by Crohn's disease. We know of only one other report of an enterovesical fistula resulting from a Meckel's diverticulum. In that case, however, the diverticulum did not contain ectopic tissue.
Insights
A rare Meckel
Area of Science:
- Gastroenterology and Urology
- Surgical Case Reports
Background:
- Enterovesical fistulae are uncommon urinary tract complications.
- Meckel's diverticulum is a rare congenital anomaly of the small intestine.
Observation:
- A patient with Crohn's ileitis was initially diagnosed with enterovesical fistulae from the ileum.
- Laparotomy revealed a Meckel's diverticulum fistulizing to the bladder.
Findings:
- The Meckel's diverticulum contained ectopic gastric mucosa, which was inflamed and ulcerated.
- Crohn's disease did not affect the Meckel's diverticulum.
Implications:
- This case highlights the importance of considering Meckel's diverticulum in enterovesical fistula diagnosis, even in patients with other GI conditions.
- Ectopic gastric mucosa in a Meckel's diverticulum can cause fistulization to the bladder.