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Diamantidis D, Papatheodorou N, Kostoglou P, Tsakaldimis G, Botaitis S. Management of vesicoenteric fistulas arising from perforated Meckel's diverticulum: a report of a case and review of the literature. Oxf Med Case Reports 2024; 2024:omad155. [PMID: 38370499 PMCID: PMC10873693 DOI: 10.1093/omcr/omad155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2023] [Revised: 12/16/2023] [Accepted: 12/18/2023] [Indexed: 02/20/2024] Open
Abstract
Vesicoenteric fistulas are rare, with an incidence of 0.1%-0.2% in the general population, and Meckel's diverticulum is a rare cause, accounting for less than 5% of cases with challenging diagnosis due to atypical symptoms at the admission. This article presents a case of a vesicoenteric fistula formation between Meckel's diverticulum perforated by a foreign body and urinary bladder in a 38-years-old Caucasian male admitted to emergency department due to colicky abdominal pain located in the lower abdomen. An extensive review of the literature was conducted referring all the cases of vesicoenteric fistula incorporating Meckel's diverticulum to elucidate the clinical characteristics, explore the diagnostic yield, and to summarize the therapeutic approach.
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Affiliation(s)
- Dimitrios Diamantidis
- Department of Urology, University Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece
| | - Nikolaos Papatheodorou
- 1st General Surgery Department, University Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece
- Department of Vascular Surgery, University Hospital Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany
| | - Panagiotis Kostoglou
- 1st General Surgery Department, University Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece
| | - Georgios Tsakaldimis
- Department of Urology, University Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece
| | - Sotirios Botaitis
- 1st General Surgery Department, University Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece
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Lu L, Wang X. Vesico-diverticulum fistula resulting from perforation of Meckel's diverticulum managed with laparoscopic approach in a 4-year-old boy. Asian J Surg 2022; 45:1354-1355. [PMID: 35221178 DOI: 10.1016/j.asjsur.2022.02.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2022] [Accepted: 02/11/2022] [Indexed: 11/17/2022] Open
Affiliation(s)
- Liangsheng Lu
- Department of Pediatric Urology, Children's Hospital of Fudan University, Shanghai, PR China.
| | - Xiang Wang
- Department of Pediatric Urology, Children's Hospital of Fudan University, Shanghai, PR China
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Han SR, Kim HJ, Yoo RN, Shin SH, Kim G, Cho HM, Lee SJ, Lee HI. Enterovesical Fistula From Meckel Diverticulum. Ann Coloproctol 2020; 37:S1-S3. [PMID: 32178494 PMCID: PMC8359698 DOI: 10.3393/ac.2019.01.18] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/11/2018] [Accepted: 01/18/2019] [Indexed: 12/24/2022] Open
Abstract
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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Affiliation(s)
- Seung-Rim Han
- Department of Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University School of Korea, Suwon, Korea
| | - Hyung-Jin Kim
- Department of Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University School of Korea, Suwon, Korea
| | - Ri Na Yoo
- Department of Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University School of Korea, Suwon, Korea
| | - Suk Hyun Shin
- Department of Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University School of Korea, Suwon, Korea
| | - Gun Kim
- Department of Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University School of Korea, Suwon, Korea
| | - Hyeon Min Cho
- Department of Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University School of Korea, Suwon, Korea
| | - Seung-Ju Lee
- Department of Urology, St. Vincent Hospital, College of Medicine, The Catholic University School of Korea, Suwon, Korea
| | - Hyang-Im Lee
- Department of Pathology, St. Vincent Hospital, College of Medicine, The Catholic University School of Korea, Suwon, Korea
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