Fistule vésico-sigmoïdienne compliquant une bilharziose vesicale : à propos d’un cas exceptionnel

Yddoussalah, Othmane; Saouli, Amine; Ouazzani, H. El; Karmouni, Tarik; Elkhader, Khalid; Koutani, Abdellatif; Andaloussi, Ahmed Iben Attya; Mahassini, N.

doi:10.1016/j.afju.2018.06.004

Cited by 2 publications

(4 citation statements)

References 6 publications

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“…The scanner can eliminate a pelvic, bladder, rectal, or gynecological tumor. It also allows local assessment to plan a surgical strategy [ 3 ]. Magnetic resonance imaging allows accurate representation of fistulas without the need for direct opacification as in CT. Its use in colovesical fistulas is well-established, and its sensitivity and specificity reach 100% [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

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Enterovesical Fistula Revealing Crohn’s Disease: A Case Report

Mohammed Amine,

Mokhtari,

El Farhaoui

et al. 2024

Cureus

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Crohn's disease is an inflammatory bowel disease of unknown etiology. It is characterized by intra- and extra-intestinal complications. It is a frequent cause of uroenteric fistulas. They are mostly symptomatic and occur after several years of the evolution of Crohn's disease. The pneumaturia and fecaluria are the most significant symptoms for their presence. They are usually poorly tolerated and require surgical treatment. We report the case of an enterovesical fistula revealing Crohn's disease during endoscopic resection of a bladder pseudotumor in a generally impaired patient. Crohn’s disease should be evocated when histology is not relevant for a bladder pseudotumor or a rectovesical fistula. The discovery of an isolated bladder pseudotumor should suggest the diagnosis in the context of weight loss and chronic diarrhea. Enterovesical fistulas are uncommon but potentially dangerous complications of Crohn’s disease. Abdominal CT scans and cystoscopy are the most commonly used diagnostic modalities. Surgical treatment seems to be unavoidable in most cases although medical treatment could also benefit a small cohort of patients.

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Section: Discussionmentioning

confidence: 99%

“…Cystoscopy retains an important place in the assessment of vesico-sigmoid fistulae, although it is unremarkable in a quarter of cases [ 3 ]. The most typical appearance is a pseudo-tumor area around the fistulous orifice.…”

Section: Discussionmentioning

confidence: 99%

Enterovesical Fistula Revealing Crohn’s Disease: A Case Report

Mohammed Amine,

Mokhtari,

El Farhaoui

et al. 2024

Cureus

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“…Entero-vesical fistulas are exceptional in parasitic infections but can occur. Yddoussalah [7] describes the first case of vesico-sigmoidal fistula complicating bilharziasis in a 71-year-old patient, and Lahyani [8] the first case of vesico-sigmoidal fistula complicating intestinal hydatidosis in a 48-year-old patient. We did not perform biological tests for intestinal amoebiasis, urinary bilharziasis or hydatidosis, there being no anamnestic indication for these infections and because the symptomatology in our patient existed since birth.…”

Section: Discussionmentioning

confidence: 99%

“…In acquired forms, they are of late diagnosis and are revealed by fecaluria. They are described in elderly patients and in particular pathologies such as Crohn's disease [3], colonic diverticulosis [4], caecal cancer [5], and more rarely intestinal amoebiasis [6], bladder bilharziasis [7] and intestinal hydatidosis [8], and even in these cases that caeco-vesical fistula remains exceptional. We report an observation of the first case, to our knowledge, of isolated congenital caeco-vesical fistula.…”

Section: Introductionmentioning

confidence: 99%

Isolated Caeco-Vesical Fistula: A Case Report

Ondima¹,

Atipo²,

Opara³

et al. 2020

OJU

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Congenital uro or genito-digestive fistulas are frequently found in the context of caudal pole malformations. Isolated congenital forms without associated anorectal malformation have not been reported until now. We report the first case we know a 9 year old female child received in a pediatric surgery consultation for fecaluria evolving since birth with a permeable anus. She presented a good general condition, a good staturo-ponderal and psychomotor development, a vulva soiled by stool and a permeable anus with a tonic sphincter. A retrograde urethrocystography revealed a caeco-vesical fistula. Surgery consisted of ligation-section of the caeco-vesical septum. A follow-up urethrocystography at three months post-surgery no longer visualized the fistula. Our post-operative follow-up is 4 years. Isolated congenital caeco-vesical fistula is an unknown pathology whose late diagnosis can have serious repercussions.

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Fistule vésico-sigmoïdienne compliquant une bilharziose vesicale : à propos d’un cas exceptionnel

Cited by 2 publications

References 6 publications

Enterovesical Fistula Revealing Crohn’s Disease: A Case Report

Enterovesical Fistula Revealing Crohn’s Disease: A Case Report

Isolated Caeco-Vesical Fistula: A Case Report

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