title: Delayed ileal-ileocystoplasty fistula formation: an unusual complication of augmentation enterocystoplasty.
abstract: Augmentation enterocystoplasty is a successful treatment for patients with neurogenic bladder dysfunction. Delayed spontaneous bladder rupture is a serious recognised complication of the procedure; however, to our knowledge, delayed fistula formation between the neobladder and the gastrointestinal tract has not been reported in the literature. We report the case of a 21-year-old male who presented with chronic diarrhoea resulting from an ileal-ileocystoplasty fistula 10 years following a successful augmentation enterocystoplasty. Fistula formation is a possible complication of this procedure, and a high index of suspicion is required for patients presenting with diarrhoea who have previously undergone bladder augmentation surgery.
authors.affiliation: Department of Colorectal Surgery, St George's Hospital, Blackshaw Road, Tooting, London, SW17 0QT, United Kingdom. siying.lin@nhs.net
authors.forename: Siying
authors.initials: S
authors.lastname: Lin
authors.forename: Robert W
authors.initials: RW
authors.lastname: Hagger
authors.forename: Seyed M Ameli
authors.initials: SM
authors.lastname: Renani
authors.forename: Eric A L
authors.initials: EA
authors.lastname: Chung
mesh_terms: D000714:Anastomosis, Surgical / Q000009:adverse effects; D003558:Cystoscopy / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D007082:Ileum / Q000601:surgery; D007412:Intestinal Fistula / Q000209:etiology / Q000601:surgery*; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D012422:Rupture, Spontaneous / Q000209:etiology / Q000601:surgery; D016135:Spinal Dysraphism / Q000150:complications / Q000175:diagnosis; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000601:surgery; D001750:Urinary Bladder, Neurogenic / Q000209:etiology / Q000601:surgery*; D014548:Urinary Fistula / Q000209:etiology / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D055815:Young Adult