title: [An ileal neobladder-enteric fistula 10 years after a radical cystectomy with ileal neobladder construction].
abstract: A 67-year-old male underwent a radical cystectomy and ileal neobladder construction in September 2002. He developed adhesive ileus postoperatively and underwent an intestine-ascending colon bypass operation with a side-to-side anastomosis in December of 2002. Subsequently, the patient developed ileus frequently, which improved with conservative management. In February 2013, he had fecaluria and was diagnosed with an ileal neobladder-enteric fistula based on computed tomography 2 hours after contrast medium injection. He underwent closure of the intestinal anal side of the anastomosis between the intestine and ascending colon. The fecaluria disappeared and he is making steady progress. An ileal neobladderenteric fistula as a long-term postoperative complication of ileal neobladder construction is extremely rare, with no other reports to our knowledge. Here, we discuss its cause, diagnosis and treatment, with reference to previous reports.
authors.affiliation: The Department of Urology, Mizushima Kyodo Hospital.
authors.forename: Yoichiro
authors.initials: Y
authors.lastname: Tohi
authors.affiliation: The Department of Urology, Mizushima Kyodo Hospital.
authors.forename: Shigeo
authors.initials: S
authors.lastname: Taketa
authors.affiliation: The Department of Surgery, Mizushima Kyodo Hospital.
authors.forename: Akihiro
authors.initials: A
authors.lastname: Yamamoto
authors.affiliation: The Department of Urology, Faculty of Medicine, Kagawa University.
authors.forename: Yuma
authors.initials: Y
authors.lastname: Sakura
authors.affiliation: The Department of Urology, Faculty of Medicine, Kagawa University.
authors.forename: Mikio
authors.initials: M
authors.lastname: Sugimoto
authors.affiliation: The Department of Urology, Faculty of Medicine, Kagawa University.
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Kakehi
mesh_terms: D000368:Aged; D015653:Cystectomy; D006801:Humans; D007082:Ileum / Q000601:surgery; D007412:Intestinal Fistula / Q000209:etiology*; D008297:Male; D011183:Postoperative Complications; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D016476:Urinary Reservoirs, Continent