Arteriovesical fistula as a complication of a gunshot wound to the pelvis: treatment dilemma.

The case is reported of an arteriovesical fistula after a gunshot wound to the pelvis in a 29-year-old man. It developed 20 days after an exploratory laparotomy with primary suture of the bladder. The patient presented with intermittent gross hematuria and diagnosis was made through cystoscopy and arteriogram. Treatment was initially performed through open embolization. Re-treatment with endovascular procedures was twice necessary. Further evolution led to complete recovery from symptoms after an open procedure. Virtually all forms of treatment were tried and the resolution was finally achieved after more than 7 months.

Fístulas urogenitais / Urogenital fistulas

Revisam-se aspectos etiopatológicos, clínicos e diagnósticos das fístulas urogenitais. Conclui-se que, em sua maioria, resultam de eventos iatrogênicos, produtores de soluçöes de continuidade que permitem fluxo urinário de vias urinárias baixas ou altas para o trato genital, Indica-se cuidadosa avaliaçäo diagnóstica de cada caso, individualizando o tratamento. Apenas cerca de 5 por cento de casos tendem à resoluçäo espontânea; nos demais, o tratamento cirúrgico oportunizará a soluçäo definitiva

Fistula vesicoarticular cutanea para articulaçao coxofemoral direita / Vesico-articular fistula cutaneous for coxofemoral articulation rigent

E relatado um caso de fistula vesicoarticular, comunicando bexiga com a articulaçao coxofemoral direita, de 40 anos de evoluçao, formada a partir de uma artrite septica do quatril. Foi realizada a correçao da fistula por via transperitoneal