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Progression of pressure ulcer to vesico-cutaneous fistula

Abstract A 72-year-old female known to have diabetes, multiple medical problems, and bedridden with indwelling Foley's catheter. She presented with an ulcer which progressed to a Grade 4 pressure ulcer. She was known to have recurrent urinary tract infection. Contrast study through the fistula...

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Published in:Journal of tissue viability 2009-08, Vol.18 (3), p.95-96
Main Authors: Nassir, Anmar M, Bell, David
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Language:English
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description Abstract A 72-year-old female known to have diabetes, multiple medical problems, and bedridden with indwelling Foley's catheter. She presented with an ulcer which progressed to a Grade 4 pressure ulcer. She was known to have recurrent urinary tract infection. Contrast study through the fistula revealed a communicating fistula between the left buttock ulcer and the bladder. Conservative way of management was followed due to the overall health status of the patient. She was sent to home with daily dressings, mattress, and an occupational therapy plan. Fortunately, her fistula healed spontaneously after six months. To our knowledge, in addition to the unique presentation and outcome, the case we reported is the first with such communication.
doi_str_mv 10.1016/j.jtv.2009.02.003
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subjects Advanced Basic Science
Aged
Bedridden
Bladder fistula
Critical Care
Cutaneous Fistula - etiology
Cutaneous Fistula - pathology
Cutaneous Fistula - therapy
Decubitus ulcer
Female
Humans
Nursing
Pressure ulcer
Pressure Ulcer - complications
Pressure Ulcer - pathology
Pressure Ulcer - therapy
Urinary Bladder Fistula - etiology
Urinary Bladder Fistula - pathology
Urinary Bladder Fistula - therapy
Vesico-cutaneous fistula
title Progression of pressure ulcer to vesico-cutaneous fistula
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