Vesicocutaneous fistula presenting groin abscess and chronic osteomyelitis in pubic bone.
The authors report a case of bladder fistula associated with a medial thigh cutaneous fistula and chronic osteomyelitis of the pubic bone 11 years after surgery for a pelvic bone fracture and bladder rupture. In the presenting case, despite the clinical suspicion, none of the diagnostic tools demonstrated the bladder fistula preoperatively. This case suggests that bladder repair should be prepared, even if the bladder fistula cannot be confirmed by imaging studies because the amount of urine leakage can be minimal or the fistula can close spontaneously.
Kim
Sang Bum
SB
Department of Orthopedic Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.
Jung
Woong Kyo
WK
Song
Dong Ik
DI
Lee
Soon Hyuck
SH
D000038:Abscess / Q000150:complications / Q000175:diagnosis*; D017577:Cutaneous Fistula / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D006119:Groin; D006801:Humans; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D010388:Pelvis / Q000000981:diagnostic imaging; D011630:Pubic Bone / Q000601:surgery; D011859:Radiography; D001747:Urinary Bladder Fistula / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery