Is vesicolithotomy with bladder wash the answer for rectovesical fistula secondary to neglected vesical stone? Complicated presentation but simple management

Authors

• AbdelLatif K. Elnaim, Department of Surgery, Kassala Teaching Hospital, Faculty of Medicine, Kassala University, Kassala, Sudan.
• Mamoun M. Mohamed, Department of Surgery, Kassala Teaching Hospital, Faculty of Medicine, Kassala University, Kassala, Sudan.

Abstract

It is extremely rare that the urinary bladder stones cause vesicorectal fistulas. Urinary tract infection and poor fluid intake are the main etiologies that precipitate vesical stone formation, and subsequent rectovesical fistula. We present a complicated case of neglected vesical stone, which recurred 3 times. The patient presented with passage of urine per rectum leading to fecal incontinence. He was managed only with vesicolithotomy and bladder wash with eventual spontaneous closure of the rectovesical fistula.

Article Type

Case Report

First Page

406

Last Page

408

Recommended Citation

Elnaim, AbdelLatif K. and Mohamed, Mamoun M. (2014) "Is vesicolithotomy with bladder wash the answer for rectovesical fistula secondary to neglected vesical stone? Complicated presentation but simple management," Saudi Medical Journal: Vol. 35: Iss. 4, Article 13.
DOI: https://doi.org/10.15537/1658-3175.5938