title: Post-radiotherapy vesicocutaneous fistula presenting as gas/fluid-filled groin swelling.
abstract: We report an interesting and rare case of a vesicocutaneous fistula, which was diagnosed only one year following radiotherapy. A 71 year old gentleman presented with a gangrenous swelling of his left thigh. A copius amount of urine was seen to be draining from the site after initial incision and drainage. Computed tomography with contrast confirmed the diagnosis of a vesicocutaneous fistula. Bilateral nephrostomies were inserted to aid spontaneous closure of the fistula. Previous case reports of vesicocutaneous fistulae involving radiotherapy have described the complication of a fistula occurring many years after the intervention.
authors.affiliation: New Cross Hospital, Wolverhampton, UK.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Yin
authors.affiliation: New Cross Hospital, Wolverhampton, UK.
authors.forename: Anthony
authors.initials: A
authors.lastname: Marino
authors.affiliation: New Cross Hospital, Wolverhampton, UK.
authors.forename: Peter
authors.initials: P
authors.lastname: Cooke
authors.affiliation: New Cross Hospital, Wolverhampton, UK.
authors.forename: Khaldoun
authors.initials: K
authors.lastname: Bitar