Vesico-diverticular fistula: a rare complication of Meckel's diverticulum.
Am Surg
; 58(12): 784-6, 1992 Dec.
Article
en En
| MEDLINE
| ID: mdl-1456609
ABSTRACT
Enterovesical fistulas usually result from diverticulitis, Crohn's disease, or colorectal cancer. A perforated Meckel's diverticulum can also result in an vesico-diverticulum fistula, as noted in three previously reported cases. In all three cases, bladder or bowel disease was associated with the fistula. Herein, the authors describe a previously healthy, 23-year-old man who presented with an enterovesical fistula. Exploratory laparotomy revealed a vesico-diverticular fistula resulting from a perforated Meckel's diverticulum. Pathologic examination revealed that the diverticulum did not contain ectopic gastric or pancreatic tissue and that the perforation was secondary to an enterolith. The patient underwent a diverticulectomy and had an uneventful postoperative course. Unlike any of the three previously reported cases, the authors' patient had no coexisting bowel or bladder disease occurring with his vesico-diverticular fistula. To the authors' knowledge, this is only the third reported case of a vesico-diverticular fistula resulting from a perforated Meckel's diverticulum that did not contain ectopic tissue. It represents the first case where the perforation was secondary to an enterolith.
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Bases de datos:
MEDLINE
Asunto principal:
Fístula de la Vejiga Urinaria
/
Fístula Intestinal
/
Perforación Intestinal
/
Divertículo Ileal
Tipo de estudio:
Diagnostic_studies
Idioma:
En
Revista:
Am Surg
Año:
1992
Tipo del documento:
Article