Jain Vineet, Sen Biswarup, Jain Pankaj, Lal Pawanindra, Maini Lalit, Mehtani A
Department of Orthopaedics, Maulana Azad Medical College and associated L N Hospital, N Delhi, India.
Pediatr Infect Dis J. 2006 Oct;25(10):954-5. doi: 10.1097/01.inf.0000237923.61105.1a.
Vesicocutaneous fistula can occur secondary to numerous factors. We present a case of 14-year-old girl who presented with a discharging sinus beside her labia majora with bony ankylosis of her left hip secondary to infection. Investigations revealed the femoral head protruding into the urinary bladder, resulting in a vesicocutaneous fistula. This case highlights the bizarre presentation of infection in the hip and the difficulty in diagnosis of a resultant vesicocutaneous fistula.
膀胱皮肤瘘可继发于多种因素。我们报告一例14岁女孩,她大阴唇旁有一个排液窦道,继发感染导致左髋关节骨性强直。检查发现股骨头突入膀胱,导致膀胱皮肤瘘。该病例突出了髋关节感染的奇特表现以及由此产生的膀胱皮肤瘘的诊断困难。