Jejunovesical Fistula Diagnosis After Normal Vaginal Delivery: A Case Report

Enterovesical fistula represents an abnormal communication between the intestine and bladder. The causes are diverticulitis (56.3%), malignant tumours, which are located mainly in the intestine (20.1%), and Crohn’s disease (9.1%). Other causes include iatrogenic injury (3.2%); trauma; foreign bodies...

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Bibliographic Details
Published in:Journal of Nepal Medical Association 2024-01, Vol.62 (269), p.58-61
Main Authors: Yadav, Deepak Kumar, Bahadur Adhikari, Mahesh, Maharjan, Bipin, Mishra, Prashant, Prasad Shrestha, Pramesh
Format: Article
Language:English
Subjects:
Case Report
case reports
fistula
jejunum
urinary bladder
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Summary:Enterovesical fistula represents an abnormal communication between the intestine and bladder. The causes are diverticulitis (56.3%), malignant tumours, which are located mainly in the intestine (20.1%), and Crohn’s disease (9.1%). Other causes include iatrogenic injury (3.2%); trauma; foreign bodies in the intestinal tract; radiotherapy; chronic appendicitis; tuberculosis; and syphilis. Normal vaginal delivery as a cause for enterovesical fistula has not been reported in many publications yet. Wereport a case of a 30-year-old female, who developed an jejunovesical fistula after normal vaginal delivery. It was diagnosed after diagnostic cystoscopy and computed tomography of the abdomen and pelvis. There was jejuno-vesical fistula. Resection of the segment of the jejunum with side-to-side anastomosis with bladder repair was done. A follow-up cystogram was done which showed no contrast extravasation into the peritoneum. The patient was followed up for 9 months after surgery.
ISSN:0028-2715
1815-672X
DOI:10.31729/jnma.8407