Related Experiment Videos
Colovesical fistula resulting from a perforated colonic duplication
R M Decter1, K M Kaplan, K D Eggli
1Department of Surgery, Pennsylvania State University College of Medicine, Hershey 17033, USA.
Pediatrics
|September 17, 1998
Summary
Colovesical fistulas in children are rare and usually linked to anorectal malformations. This case highlights an acquired colovesical fistula resulting from a colonic duplication abscess, a unique cause in pediatric patients.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Urology
Background:
- Colovesical fistulas in children are predominantly congenital, often linked to high anorectal imperforations.
- Acquired enterovesical fistulas in pediatric populations are infrequently associated with inflammatory conditions.
Observation:
- A child presented with fever of unknown origin, prompting further investigation.
- Imaging and clinical evaluation revealed an acquired colovesical fistula.
Findings:
- The fistula was found to be caused by the erosion of an abscess.
- The abscess originated from the distal end of a colonic duplication, an uncommon etiology.
Implications:
- This case expands the differential diagnosis for acquired colovesical fistulas in children.
- Highlights the importance of considering rare congenital anomalies like colonic duplications in acquired fistulas.
- Suggests a need for thorough evaluation in pediatric cases of unexplained fever and urinary symptoms.