Publication: Jejunovesical Fistula Diagnosis After Normal Vaginal Delivery: A Case Report
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Date
2024
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Enterovesical fistula represents an abnormal communication between the intestine and bladder. The causes are diverticulitis (56.3%), malignant tumours, which are located mainly in the intestine (20.1%), and Crohn’s disease (9.1%). Other causes include iatrogenic injury (3.2%); trauma; foreign bodies in the intestinal tract; radiotherapy; chronic appendicitis; tuberculosis; and syphilis. Normal vaginal delivery as a cause for enterovesical fistula has not been reported in many publications yet. We
report a case of a 30-year-old female, who developed an jejunovesical fistula after normal vaginal delivery. It was diagnosed after diagnostic cystoscopy and computed tomography of the abdomen and pelvis. There was jejuno-vesical fistula. Resection of the segment of the jejunum with side-to-side anastomosis with bladder repair was done. A follow-up cystogram was done which showed no contrast extravasation into the peritoneum. The patient was followed up for 9 months after surgery.
Description
Deepak Kumar Yadav
Department of Urology and Kidney Transplant, Nepal Mediciti Hospital, Nakhkhu Patan, Karyabinayak, Lalitpur, Nepal
Mahesh Bahadur Adhikari
Department of Urology and Kidney Transplant, Nepal Mediciti Hospital, Nakhkhu Patan, Karyabinayak, Lalitpur, Nepal
Bipin Maharjan
Department of Urology and Kidney Transplant, Nepal Mediciti Hospital, Nakhkhu Patan, Karyabinayak, Lalitpur, Nepal
Prashant Mishra
Department of Urology and Kidney Transplant, Nepal Mediciti Hospital, Nakhkhu Patan, Karyabinayak, Lalitpur, Nepal
Pramesh Prasad Shrestha
Department of Urology and Kidney Transplant, Nepal Mediciti Hospital, Nakhkhu Patan, Karyabinayak, Lalitpur, Nepal