Vesicoenteric fistula due to bladder squamous cell carcinoma
Yu Jin Kang1, Dong Jin Park1, Soon Kim2
1Department of Urology, Dongguk University College of Medicine, Gyeongju, Korea.
Korean Journal of Urology
|July 22, 2014
Summary
Vesicoenteric fistula is a rare complication of bladder squamous cell carcinoma. This case highlights the importance of vigilant follow-up imaging for bladder cancer recurrence.
Area of Science:
- Urology
- Oncology
Background:
- Vesicoenteric fistula is a rare but serious complication associated with bladder cancer.
- Squamous cell carcinoma of the bladder is an uncommon subtype, often linked to chronic irritation.
Observation:
- A 70-year-old male presented with painless gross hematuria.
- Initial imaging revealed a bladder dome mass consistent with squamous cell carcinoma.
- Despite initial resection, follow-up imaging demonstrated tumor recurrence and the development of a vesicoenteric fistula.
Findings:
- Histopathological analysis confirmed bladder squamous cell carcinoma infiltrating the serosa.
- Postoperative imaging revealed tumor recurrence and a fistula between the bladder and the intestine.
- Cystography confirmed the presence of the vesicoenteric fistula.
Implications:
- This case underscores the potential for aggressive recurrence of bladder squamous cell carcinoma.
- Early detection and vigilant surveillance are crucial for managing bladder cancer complications like fistulas.
- Understanding the progression from bladder cancer to vesicoenteric fistula is vital for treatment strategies.
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