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Vesicocutaneous fistula arising from a bladder diverticulum

Author(s): Kishore T | Bhat S | John P

Journal: Indian Journal of Medical Sciences
ISSN 0019-5359

Volume: 59;
Issue: 6;
Start page: 265;
Date: 2005;
Original page

Keywords: Bladder diverticulum; vesical calculus; vesicocutaneous fistula

A 55-year-old man presented with intermittent episodes of urinary leak through the left groin following an abscess drainage at that site at the age of 5 years. Since then he had been suffering from recurrent urinary tract infections and urinary leak, which used to be treated symptomatically. Intravenous urogram (IVU), voiding cystourethrogram (VCU), and cystoscopy done in our institution revealed a bladder diverticulum with a stone in situ, which was communicating with the fistulous opening located in the left groin. Diverticulectomy and excision of the fistulous tract cured the patient. A long-standing fistula arising from a bladder diverticulum at relatively distant site is of extreme rarity. Vesicocutaneous fistula from an iatrogenic injury to vesical diverticulum resulting from a groin surgery has not been reported so far.
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