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Post-radiotherapy vesicocutaneous fistula presenting as gas/fluid-filled groin swelling
Jonathan Yin1, Anthony Marino1, Peter Cooke1
1New Cross Hospital, Wolverhampton, UK.
Abstract:
We report an interesting and rare case of a vesicocutaneous fistula, which was diagnosed only one year following radiotherapy. A 71 year old gentleman presented with a gangrenous swelling of his left thigh. A copius amount of urine was seen to be draining from the site after initial incision and drainage. Computed tomography with contrast confirmed the diagnosis of a vesicocutaneous fistula. Bilateral nephrostomies were inserted to aid spontaneous closure of the fistula. Previous case reports of vesicocutaneous fistulae involving radiotherapy have described the complication of a fistula occurring many years after the intervention.
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