Enterovesical fistula, a rare complication of Meckel’s diverticulum: A case report

Bourguiba,; Gharbi, Mohamed Amine; Ghalleb, Montassar; Taher, Abu; Souai, F; Bensafta, Yacine; Sayari, S.; Moussa, Mounir Ben

doi:10.1016/j.ijscr.2017.06.053

Cited by 6 publications

(1 citation statement)

References 11 publications

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“…There are few reports of an EVF associated with Meckel diverticulum. A PubMed and Embase search for articles published between 1990 and 2018 using terms of “enterovesical fistula,” “vesicoenteric fistula,” and “Meckel’s diverticulum” identified seven cases of fistula in the English literature [ 1 - 6 , 12 ]. The causes were no coexisting bowel or bladder disease (3 cases), adenocarcinoma in ectopic pancreatic tissue (1 case), Crohn disease (1 case), enterolith (1 case), and ingested foreign body in Meckel diverticulum (1 case) ( Table 1 ).…”

Section: Discussionmentioning

confidence: 99%

Enterovesical Fistula From Meckel Diverticulum

et al. 2021

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Meckel diverticulum is a common congenital malformation of the gastrointestinal tract and can cause complications such as ulceration, hemorrhage, intussusception, and perforation. This report describes a very rare complication of an enterovesical fistula associated with chronic Meckel diverticulum. A 51-year-old male presented with over 10 years of persistent pyuria. Tests were performed to rule out malignancy, including serum prostate-specific antigen level, urine cytology, bacterial culture, cystoscopy, and bladder computed tomography. An enterovesical fistula was identified, and laparoscopic exploration was performed. The findings suggested enterovesical fistula formation caused by chronic inflammation at the tip of a Meckel diverticulum. Segmental resection of the small bowel including the diverticulum and primary repair of the urinary bladder along with partial cystectomy were performed. The postoperative clinical course was uneventful. An enterovesical fistula is a very rare complication resulting from chronic inflammation of a Meckel diverticulum.

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Section: Discussionmentioning

confidence: 99%

Enterovesical Fistula From Meckel Diverticulum

et al. 2021

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Management of Colovesical Fistulae: The Updated Evidence

Giunco,

Hernández-Hernández,

Placeres-Hernández

et al. 2024

Curr Bladder Dysfunct Rep

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Gouverneur’ syndrome in a young Hispanic patient: A case report of a rare presentation of a rectal adenocarcinoma tumor

Mejias

Robles

Olivella

et al. 2020

Journal of Surgical Case Reports

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This is an unusual case report of 32-year-old Hispanic male who presented with an early-onset advanced stage colorectal cancer with an enterovesical fistula. A 32-year-old man presented to our institution referring suprapubic pain, urinary frequency, dysuria and tenesmus for several weeks suggesting Gouverneur’s syndrome. Patient had been treated with oral antibiotics for his recurrent urinary tract infections without resolution. Associated unintentional weight loss, decreased appetite and suprapubic pain raised concern for occult malignancy. Abdominopelvic computed tomography scan revealed a rectal mass with invasion to bladder. Colonoscopy biopsy confirmed diagnosis of moderately differentiated rectal adenocarcinoma. This report provides vital information about clinical presentations of enterovesical fistula in an imposed rectal adenocarcinoma in a young Hispanic adult with no previous family or medical history. A thorough clinical assessment must be taken to ensure accurate diagnosis and early detection of colorectal cancer in the young Hispanic population.

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Enterovesical fistula, a rare complication of Meckel’s diverticulum: A case report

Cited by 6 publications

References 11 publications

Enterovesical Fistula From Meckel Diverticulum

Enterovesical Fistula From Meckel Diverticulum

Management of Colovesical Fistulae: The Updated Evidence

Gouverneur’ syndrome in a young Hispanic patient: A case report of a rare presentation of a rectal adenocarcinoma tumor

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