Yin Jonathan, Marino Anthony, Cooke Peter, Bitar Khaldoun
New Cross Hospital, Wolverhampton, UK.
J Surg Case Rep. 2011 Jun 1;2011(6):4. doi: 10.1093/jscr/2011.6.4.
We report an interesting and rare case of a vesicocutaneous fistula, which was diagnosed only one year following radiotherapy. A 71 year old gentleman presented with a gangrenous swelling of his left thigh. A copius amount of urine was seen to be draining from the site after initial incision and drainage. Computed tomography with contrast confirmed the diagnosis of a vesicocutaneous fistula. Bilateral nephrostomies were inserted to aid spontaneous closure of the fistula. Previous case reports of vesicocutaneous fistulae involving radiotherapy have described the complication of a fistula occurring many years after the intervention.
我们报告了一例有趣且罕见的膀胱皮肤瘘病例，该病例在放疗后一年才得以诊断。一名71岁男性患者出现左大腿坏疽性肿胀。初次切开引流后，可见大量尿液从该部位流出。增强计算机断层扫描确诊为膀胱皮肤瘘。插入双侧肾造瘘管以促进瘘管自然闭合。既往涉及放疗的膀胱皮肤瘘病例报告描述了干预多年后发生瘘管这一并发症。
