1.Vesicoenteric Fistula due to Bladder Squamous Cell Carcinoma.
Yu Jin KANG ; Dong Jin PARK ; Soon KIM ; Sung Woo KIM ; Kyung Seop LEE ; Nak Gyeu CHOI ; Ki Ho KIM
Korean Journal of Urology 2014;55(7):496-498
Vesicoenteric fistula is a rare complication of bladder squamous cell carcinoma. We report the case of a 70-year-old male who complained of painless, total gross hematuria. Abdominopelvic computed tomography (CT) revealed an approximately 2.7-cm lobulated and contoured enhancing mass in the bladder dome. We performed partial cystectomy of the bladder dome after transurethral resection of the bladder. The biopsy result was bladder squamous cell carcinoma, with infiltrating serosa histopathologically, but the resection margin was free. Postoperatively, follow-up CT was done after 3 months. Follow-up CT revealed an approximately 4.7-cmx4.0-cm lobulated, contoured, and heterogeneous mass in the bladder dome. A vesicoenteric fistula was visible by cystography. Here we report this case of a vesicoenteric fistula due to bladder squamous cell carcinoma.
Aged
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Carcinoma, Squamous Cell/*complications/pathology/radiography
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Fatal Outcome
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Humans
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Intestinal Fistula/*etiology/radiography
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Male
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Sigmoid Diseases/*etiology/radiography
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Tomography, X-Ray Computed
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Urinary Bladder Fistula/*etiology/radiography
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Urinary Bladder Neoplasms/*complications/pathology/radiography
3.A Case of Lower Gastrointestinal Bleeding Caused by Primary Iliac Arterio-colic Fistula.
Young Il KIM ; Seon Young PARK ; Won Joo KI ; Ho Seok KI ; Kyoung Won YOON ; Hyun Soo KIM ; Sung Kyu CHOI ; Jong Sun REW
The Korean Journal of Gastroenterology 2010;56(2):113-116
Arterio-enteric fistula is a very rare cause of massive lower gastrointestinal hemorrhage. We report here on a case of massive hematochezia caused by iliac arterio-colic fistula in a 60-year-old woman who had a recent history of spinal surgery for herniated nucleus pulposus. Abdomen computed tomography showed the extravasation of radiocontrast media from right iliac artery encased by an intraabdominal abscess into the adjacent dilatated colon. Also, diagnostic angiography revealed the active extravasation of radiocontrast media via a fistula between right iliac artery and colon. Although successful endovascular exclusion of the fistula with stent graft and coils was performed, disseminated intravascular coagulation and multi-organ failure were developed.
Colonic Diseases/complications/*diagnosis
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Female
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Gastrointestinal Hemorrhage/*etiology
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Humans
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Iliac Artery/*radiography
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Intestinal Fistula/complications/*diagnosis
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Middle Aged
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Stents
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Tomography, X-Ray Computed
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Vascular Fistula/complications/*diagnosis