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A vesicocutaneous fistula secondary to bladder calculi in a patient with spina bifida

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Author(s): Jonathan D Horsnell | Richard B Kinder

Journal: Journal of Surgical Case Reports
ISSN 2042-8812

Issue: 6;
Start page: 4;
Date: 2010;
Original page

Keywords: vesicocutaneous | fistula | bladder | calculi | spina bifida

ABSTRACT
We present a rare case of a vesicocutaneous fistula secondary to two large bladder calculi in a patient with spina bifida. A 62 year old lady presented with swelling of her right thigh and a calcified mass protruding through the subcutaneous tissues of her right groin. Urine was seen to be draining from around the area and plain radiographs and a computed topography (CT) scan confirmed the presence of two bladder calculi with a vesicocutaneous fistula. Vesicolithotomy was performed and the fistula tract left to close spontaneously. Worldwide this is only the fourth case of a bladder calculus causing a vesicocutaneous fistula.

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