外科ジャーナル

A Rare Cause of Entero-Vesical Fistula Caused by a Skewer, Multidisciplinary Management and Minimally-Invasive Surgical Correction

Abstract

Roberto Campagnacci, Giulio Belfiori, Pierluigi Sperti, Monica Ortenzi, Indrit Kubolli and Mario Guerrieri

Entero-vesical fistulae (EVf) occurs rarely but it is a serious clinical condition often correlated with other pathologies. It accounts for 1 to 3000 hospital accesses/year. We present a patient with a sigmoid-vesical fistulae caused by the accidental ingestion of a wood skewer two years before. In literature about 6,09 % of accesses in the first aid area(FAa) are due to the ingestion of foreign bodies(FBs) but in 80-90% of them they are expelled with stools. In frequently FBs in the lower gastrointestinal tract can be the result of an orally ingested sharp object that becomes impacted. The management of this case was multidisciplinary, and the correction was a laparoscopic one time approach.