Abstract
Abstract
Background
Ileal neobladder fistula is a rare complication after radical cystectomy, with an incidence of approximately 0.7%. At present, there are scattered reports of vesicoileal fistula, but there are no reports of ileal neobladder fistula (INF) caused by bladder stones. In this paper, a case of ileal neobladder fistula caused by chronic stimulation of bladder stones was successfully diagnosed and treated.
Case presentation
A 68-year-old man who had undergone radical cystectomy and an orthotopic ileal neobladder procedure 10 years prior presented with refractory diarrhoea and oliguria and was diagnosed with ileal neobladder fistula caused by chronic stimulation of bladder stones. We performed fistulectomy, cystotomy, partial ileectomy, and end-to-end ileal anastomosis, and the patient recovered and was discharged after the operation.
Conclusion
Urinary calculi are delayed complications of orthotopic neobladder construction after total cystectomy. Bladder stones are a rare complication of ileal neovesical fistula, which can cause neovesical cutaneous fistula. It is difficult to diagnose through routine examination and easily misdiagnosed as acute gastroenteritis. Surgery is an effective treatment for INF and can achieve a good prognosis.
Funder
Natural Science Foundation of Fujian Province
Sanming Science and Technology Plan Project Fund
Fujian Medical University Sailing Fund
Publisher
Springer Science and Business Media LLC
Subject
Urology,Reproductive Medicine,General Medicine
Reference13 articles.
1. Epplen R, Pfister D, Heidenreich A. Intestinal neobladder fistula after radical cystectomy and orthotopic ileal neobladder. Der Urologe Ausg A. 2011;50(11):1431–4.
2. Kaufman MR. Neobladder-vaginal fistula: surgical management techniques. Curr Urol Rep. 2019;20(11):67.
3. Yokota N, Ito F, Ishikawa T, et al. Neobladder-rectal fistula as early postoperative complication of radical cystectomy and orthotopic neobaldder construction. Nihon Hinyokika Gakkai zasshi Japanese J Urol. 2013;104(4):616–9.
4. Tafuri A, Porcaro AB, Ashrafi AN, et al. Multiple stones in neobladder: case report and literature review. Urologia. 2019;86(4):216–9.
5. Cicione A, De Nunzio C, Lombardo R, et al. Complications and quality of life of ileal conduit, orthotopic neobladder and ureterocutaneostomy: systematic review of reports using the Clavien-Dindo Classification. Minerva urologica e nefrologica Italian J Urol Nephrol. 2020;72(4):408–19.