Enterovesical Fistula Secondary to Transitional Cell Carcinoma of the Bladder

Abstract

Although fistulae between the urinary bladder and the gastrointestinal tract are not uncommon, those caused by carcinoma of the urinary bladder are rare. This report describes the case of an 85 years old male who was diagnosed with a mass involving the small bowel and the urinary bladder during the course of investigation for recurrent urinary tract infections. At laparotomy, the presence of an enterovesical fistula involving the ileum and bladder was confirmed. Histopathological examination of the resected mass showed poorly differentiated urothelial carcinoma. No early postoperative complications were encountered and postoperative cystography showed healing of the bladder without evidence of leakage. Due to the patient's age and comorbidities, no further oncological treatment was offered. Three months later the patient was readmitted to hospital with a severe pneumonia to which he succumbed.

Keywords

Enterovesical fistual - bladder cancer - transitional cell carcinoma

• References

• 1 Golabek T, Szymanska A, Szopinski T. , et al. Enterovesical fistulae: aetiology, imaging, and management. Gastroenterology Research Practice 2013; ; 617967;
• 2 Sellers W, Fiorelli R. Enterovesical fistula secondary to squamous cell carcinoma of the bladder. Urol Case Rep 2015; 3 (06) 201-203
• 3 Scozzari G, Arezzo A, Morino M. Enterovesical fistulas: diagnosis and management. Tech Coloproctol v 2010; 14 (04) 293-300
• 4 Pugh JI. On the pathology and behaviour of acquired non-traumatic vesico-intestinal fistula. Br J Surg 1964; 51 (09) 644-657
• 5 Yang CH, Liu K-H, Chen TC, Chang PL, Yeh TS. Enterovesical fistula caused by a bladder squamous cell carcinoma. World J Gastroenterol 2009; 15 (33) 4215-4217
• 6 Dawam D, Patel S, Kouriefs C, Masood S, Khan O, Sheriff MKA. A “urological” enterovesical fistula. J Urol 2004; 172 (03) 943-944
• 7 Reig Ruiz C, Vallejo Gil C, Lorente Garín JA, Vila Barja J, Morote Robles J, Soler Roselló A. Fístulavésico-ilealsecundaria a cáncer de vejiga. Actas Urol Esp 1994; 18 (05) 615-618
• 8 Couris GD, Block MA. Intestinovesical fistula. Surgery 1963; 54: 736-742
• 9 Law WL, Chu SM. An unusual enterovesical fistula. Am J Surg 2008; 195 (06) 814-815
• 10 Athanassopoulos A, Speakman MJ. Appendicovesical fistula. IntUrolNephrol 1995; 27 (06) 705-708
• 11 Bouassida M, Mighri MM, Trigui K. , et al. Meckel's diverticulum: an exceptional cause of vesicoenteric fistula: case report and literature review. Pan Afr Med J 2013; 15: 9
• 12 Paul AB, Thomas JS. Enterovesical fistula caused by small bowel lymphoma. Br J Urol 1993; 71 (01) 101-102
• 13 Cano-Valderrama O, Domínguez-Serrano I, Esteban Collazo F, Torres García AJ, Cerdán Miguel J. [Enterovesical fistula caused by an indwelling bladder catheter]. Cir Esp 2012; 90 (08) 535-537
• 14 Hawary A, Clarke L, Taylor A, Duffy P. Enterovesical fistula: a rare complication of urethral catheterization. AdvUrol 2009; (e-pub): 591204
• 15 Wyczółkowski M, Klima W, Łabza H, Kasprzyk J. Vesico-ileal fistula caused by a foreign body. UrolInt 2001; 66 (03) 164-165
• 16 Carson CC, Malek RS, Remine WH. Urologic aspects of vesicoenteric fistulas. J Urol 1978; 119 (06) 744-746
• 17 Bugeja S, Ivaz S, Frost A, Andrich DE, Mundy AR. Complex fistula disease in the pelvic malignancy cancer survivor who has been treated with radiation. Curr Bladder Dysfunct Rep 2016; 11 (02) 113-119
• 18 Schmidt S, Chevallier P, Bessoud B. , et al. Diagnostic performance of MRI for detection of intestinal fistulas in patients with complicated inflammatory bowel conditions. EurRadiol 2007; 17 (11) 2957-2963
• 19 Ranjan N, Ahmed A, Rohit K, Singh M, Tiwary R, Kumar V. Colovesical Fistulae due to diverticular disease of the sigmoid colon: A case report. Urol Today Int J 2013; 6 (05) 1944-5784
• 20 Stein JP, Skinner DG. Results with radical cystectomy for treating bladder cancer: a ‘reference standard’ for high-grade, invasive bladder cancer. BJU Int 2003; 92 (01) 12-17