Department of Colorectal Surgery, St George's Hospital, Blackshaw Road, Tooting, London, SW17 0QT, United Kingdom.
J Pediatr Urol. 2012 Feb;8(1):e16-8. doi: 10.1016/j.jpurol.2011.06.005. Epub 2011 Aug 19.
Augmentation enterocystoplasty is a successful treatment for patients with neurogenic bladder dysfunction. Delayed spontaneous bladder rupture is a serious recognised complication of the procedure; however, to our knowledge, delayed fistula formation between the neobladder and the gastrointestinal tract has not been reported in the literature. We report the case of a 21-year-old male who presented with chronic diarrhoea resulting from an ileal-ileocystoplasty fistula 10 years following a successful augmentation enterocystoplasty. Fistula formation is a possible complication of this procedure, and a high index of suspicion is required for patients presenting with diarrhoea who have previously undergone bladder augmentation surgery.
增强肠膀胱成形术是治疗神经源性膀胱功能障碍患者的一种有效方法。延迟性自发性膀胱破裂是该手术的一种公认的严重并发症;然而,据我们所知,文献中尚未报道增强肠膀胱成形术后新膀胱与胃肠道之间发生延迟性瘘。我们报告了一例 21 岁男性患者的病例,该患者在成功进行增强肠膀胱成形术后 10 年出现回肠-肠膀胱瘘,导致慢性腹泻。瘘形成是该手术的一种可能的并发症,对于曾接受过膀胱增强手术且出现腹泻的患者,需要高度怀疑瘘的可能性。