Neurogenic bladder decompressing via a spontaneous colovesical fistula--a case report.
A 3-year-old girl with operated meningomyelocele and urinary incontinence presented with recurrent attacks of watery diarrhea and anuria, which were relieved by urethral catheterization. Investigations revealed a poorly compliant neurogenic bladder that periodically decompressed via a spontaneously developed colovesical fistula. The fistula was repaired with concomitant bladder augmentation. To our knowledge, this is the only report of such a complication from neurogenic bladder in childhood.
Karl
Sampath
S
Department of Pediatric Surgery, Christian Medical College and Hospital, Vellore, Tamil Nadu, India. rubykarl@yahoo.com
Sen
Sudipta
S
Chacko
Jacob
J
Thomas
Gordon
G
D001002:Anuria / Q000209:etiology; D002675:Child, Preschool; D003187:Compliance; D003967:Diarrhea / Q000209:etiology; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology; D007412:Intestinal Fistula / Q000209:etiology* / Q000601:surgery; D008591:Meningomyelocele / Q000150:complications; D012810:Sigmoid Diseases / Q000209:etiology* / Q000601:surgery; D001747:Urinary Bladder Fistula / Q000209:etiology* / Q000601:surgery; D001750:Urinary Bladder, Neurogenic / Q000150:complications*