Vesicoenteric Fistula Created by Ingested Foreign Body in Meckel’s Diverticulum

Meckel’s diverticulum: an exceptional cause of vesicoenteric fistula: case report and literature review

“…Enterovesical fistulas usually result from diverticulitis, Crohn′s disease, or colorectal cancer [3, 4]. A perforated, or an inflamed Meckel′s diverticulum can also result in a vesico-diverticulum fistula, as noted in six previously reported cases [5–10]. The fistula is initiated by ulceration and inflammation of the bowel wall with subsequent perforation and extramural suppuration from the diverticulum.…”

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

“…The perforation or the inflammation of Meckel’s diverticulum might also lead to vesicoentericfistulas as it was actually reported in 07 cases in theliterature [9], [10]. In our case, no intestinal or visceral pathologies were associated with the fistula; conversely to the two cases reported where the patients were suffering from Crohn’s disease [13], [14] and another where the entero- visceral fistula was caused by a foreign object ingested and incarcerated at the level of Meckel’s diverticulum [9].…”

“…The urinary symptoms dominate the revealing table such as the urinary infection, the pneumaturia or the fecaluria [8]. The abdominal signs might be summed up in a pain of the right iliac fossa which was noted in only two cases [9], [12]. The imagery does helpfor the diagnosis, particularly the TDM or the abdominal IRM which is much more reliable to highlight the presence of gas in the bladder and the possible solution of continuity between the bladder and an intestinal segment.…”

“…The cystoscopy could also contribute to the diagnosis by visualizing the fistula in 6.7–67% of the cases [7]. This is reflected by a loss of substance at the level of the posterior superior bladderwall associated with anedematousinfiltration of the mucosa [9], [10].…”

Enterovesical Fistula Complication in B-Cell Malignant Lymphoma of the Ileum: Report of a Case

“…Enterovesical fistula is quite an uncommon complication that is associated mainly with diverticulitis, Crohn's disease, malignancy [1] and even ingested foreign bodies [2]. It is an extremely rare complication secondary to the small-intestine lymphoma, especially B-cell lymphoma.…”