Vesicoenteric Fistula Arising from an Adenocarcinoma of Ectopic Pancreatic Tissue in a Meckel Diverticulum

We report a case of a vesicoenteric fistula arising from an adenocarcinoma of ectopic pancreatic tissue in a Meckel diverticulum in a 58-year-old man. The patient suffered from refractory micturition pain and increased urinary frequency. Computerized tomography with a contrast agent showed a ring-sh...

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Bibliographic Details
Published in:Case reports in oncology 2018-01, Vol.11 (1), p.6-10
Main Authors: Fujita, Naoyuki, Tambo, Mitsuhiro, Terado, Yuichi, Fujita, Michio, Okegawa, Takatsugu, Nutahara, Kikuo
Format: Article
Language:English
Subjects:
Bladder
Case Report
Case reports
Colorectal cancer
Ectopic pancreas
Family medical history
Fistula
Meckel diverticulum
Medical imaging
Medical prognosis
NMR
Nuclear magnetic resonance
Older people
Pancreas
Urinary tract infections
Urine
Urogenital system
Vesicoenteric fistula
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Summary:We report a case of a vesicoenteric fistula arising from an adenocarcinoma of ectopic pancreatic tissue in a Meckel diverticulum in a 58-year-old man. The patient suffered from refractory micturition pain and increased urinary frequency. Computerized tomography with a contrast agent showed a ring-shaped enhanced mass near the dome of the urinary bladder. Magnetic resonance imaging showed a cystic mass close to the urinary bladder with partly irregular wall and fistula formation to the urinary bladder. Surgical findings showed a Meckel diverticulum in the ileum, which formed a fistula with the urinary bladder, and Meckel diverticulectomy and partial cystectomy were performed. Histological findings revealed a vesicoenteric fistula arising from a papillary adenocarcinoma of ectopic pancreatic tissue in a Meckel diverticulum. The patient has survived without recurrence for more than 4 years since surgery.
ISSN:1662-6575
1662-6575
DOI:10.1159/000485458