Han Seung-Rim, Kim Hyung-Jin, Yoo Ri Na, Shin Suk Hyun, Kim Gun, Cho Hyeon Min, Lee Seung-Ju, Lee Hyang-Im
Department of Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University School of Korea, Suwon, Korea.
Department of Urology, St. Vincent Hospital, College of Medicine, The Catholic University School of Korea, Suwon, Korea.
Ann Coloproctol. 2021 Jul;37(Suppl 1):S1-S3. doi: 10.3393/ac.2019.01.18. Epub 2020 Mar 16.
Meckel diverticulum is a common congenital malformation of the gastrointestinal tract and can cause complications such as ulceration, hemorrhage, intussusception, and perforation. This report describes a very rare complication of an enterovesical fistula associated with chronic Meckel diverticulum. A 51-year-old male presented with over 10 years of persistent pyuria. Tests were performed to rule out malignancy, including serum prostate-specific antigen level, urine cytology, bacterial culture, cystoscopy, and bladder computed tomography. An enterovesical fistula was identified, and laparoscopic exploration was performed. The findings suggested enterovesical fistula formation caused by chronic inflammation at the tip of a Meckel diverticulum. Segmental resection of the small bowel including the diverticulum and primary repair of the urinary bladder along with partial cystectomy were performed. The postoperative clinical course was uneventful. An enterovesical fistula is a very rare complication resulting from chronic inflammation of a Meckel diverticulum.
梅克尔憩室是一种常见的胃肠道先天性畸形，可引起溃疡、出血、肠套叠和穿孔等并发症。本报告描述了一种与慢性梅克尔憩室相关的非常罕见的并发症——小肠膀胱瘘。一名51岁男性出现持续10多年的脓尿。进行了多项检查以排除恶性肿瘤，包括血清前列腺特异性抗原水平、尿液细胞学检查、细菌培养、膀胱镜检查和膀胱计算机断层扫描。发现了小肠膀胱瘘，并进行了腹腔镜探查。结果提示梅克尔憩室尖端的慢性炎症导致了小肠膀胱瘘的形成。对包括憩室在内的小肠进行了节段性切除，并对膀胱进行了一期修复及部分膀胱切除术。术后临床过程平稳。小肠膀胱瘘是梅克尔憩室慢性炎症导致的一种非常罕见的并发症。
