Iatrogenic Vesicojejunal Fistula Six Years Following Subtotal Hysterectomy: Diagnostic Challenges and Management.

التفاصيل البيبلوغرافية
العنوان:	Iatrogenic Vesicojejunal Fistula Six Years Following Subtotal Hysterectomy: Diagnostic Challenges and Management.
المؤلفون:	Mbaeri TU; Division of Urology, Department of Surgery, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria., Nwadi UV; Division of Urology, Department of Surgery, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria., Onu OA; Division of Urology, Department of Surgery, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria.
المصدر:	Nigerian medical journal : journal of the Nigeria Medical Association [Niger Med J] 2023 Feb 24; Vol. 63 (5), pp. 432-437. Date of Electronic Publication: 2023 Feb 24 (Print Publication: 2022).
نوع المنشور:	Case Reports; Journal Article
اللغة:	English
بيانات الدورية:	Publisher: Nigerian Medical Association Country of Publication: Nigeria NLM ID: 0315137 Publication Model: eCollection Cited Medium: Print ISSN: 0300-1652 (Print) Linking ISSN: 03001652 NLM ISO Abbreviation: Niger Med J Subsets: PubMed not MEDLINE
أسماء مطبوعة:	Publication: 2021- : Abuja, Nigeria : Nigerian Medical Association Original Publication: Lagos : Literamed Publications (Nig.) Ltd.
مستخلص:	Enterovesical fistula represents an abnormal communication between the urinary bladder and the gastrointestinal tract. It can result spontaneously from different disease processes, but can also complicate a surgical procedure. While most involve the large bowel, few involve the small bowel and these present with more clinical problems, as well as challenges in diagnosis and management. The patient is a 50-year-old P 8 ⁺⁰ , woman who presented to our facility with a 6 months' history of faecaluria. There was associated history of urinary frequency, urgency, pneumaturia and dysuria. She had subtotal hysterectomy 6 years prior to presentation. Cystography, Abdominal computed tomography scan, and cystoscopy done revealed a small bowel fistula with the bladder. She had exploratory laparotomy which revealed the fistula and extensive intra-abdominal nylon suturing of bladder and jejunum. She was treated and did well postoperatively. Enterovesical fistula can follow wrong suture use in surgical procedures even many years after the procedure. A high index of suspicion and imaging modalities are needed for early diagnosis and prompt management. (Copyright © 2023 Nigerian Medical Association.)
References:	BJR Case Rep. 2016 Aug 31;3(1):20150124. (PMID: 30363344) World J Gastrointest Surg. 2020 May 27;12(5):208-225. (PMID: 32551027) BMC Surg. 2021 May 27;21(1):265. (PMID: 34044862) Surg Clin North Am. 2016 Jun;96(3):583-92. (PMID: 27261796) J Urol. 2009 Sep;182(3):978-82. (PMID: 19616793) Case Rep Urol. 2014;2014:723592. (PMID: 24834357) Br J Radiol. 2012 Oct;85(1018):1371-5. (PMID: 22674706) J Am Coll Surg. 2004 Jan;198(1):78-82. (PMID: 14698314) Br J Hosp Med (Lond). 2010 Sep;71(9):530-1. (PMID: 20852551) Gastroenterol Res Pract. 2013;2013:617967. (PMID: 24348538) AJR Am J Roentgenol. 1984 Apr;142(4):715-8. (PMID: 6608228) Tech Coloproctol. 2010 Dec;14(4):293-300. (PMID: 20617353) Dis Colon Rectum. 1999 Apr;42(4):533-9. (PMID: 10215058) J Ultrasound Med. 2013 May;32(5):883-5. (PMID: 23620332)
فهرسة مساهمة:	Keywords: Enterovesical Fistula; Hysterectomy; Intra-Abdominal Nylon Sutures
تواريخ الأحداث:	Date Created: 20240613 Latest Revision: 20240614
رمز التحديث:	20240614
مُعرف محوري في PubMed:	PMC11165328
PMID:	38867754
قاعدة البيانات:	MEDLINE

الوصف
تدمد:	0300-1652