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[Entero-urinary fistula]

N Mânecan, C Novac, A Viorescu

    Revista Medico-Chirurgicala a Societatii De Medici Si Naturalisti Din Iasi
    |December 23, 2014
    PubMed

    Insights

    This case study details a complex entero-urinary fistula successfully treated with colectomy and transit restoration. Despite initial complications, the patient achieved a full recovery of both colon and urinary systems.

    Area of Science:

    • Gastroenterology
    • Urology
    • Surgical Case Report

    Background:

    • A challenging case of a patient with a complex entero-urinary fistula is presented.
    • The patient had undergone five prior surgical interventions without resolution.

    Observation:

    • Initial diagnosis suggested an entero-urinary fistula.
    • Investigations revealed an ulceration at the descending colon-sigmoid junction with two fistulas: one to the bladder and one to the left iliac fossa.

    Findings:

    • Surgical intervention included debridement, segmentary colectomy, and immediate transit restoration.
    • A temporary stercoral fistula developed post-operatively but resolved spontaneously.
    • Late examination confirmed normal colon and urinary system function.

    Implications:

    • This case highlights the importance of thorough investigation in complex fistula cases.
    • Successful surgical management can lead to complete resolution of severe gastrointestinal and urological complications.
    • The study contributes to understanding the management of recurrent and complex fistulas.

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