Clinics in Orthopedic Surgery  2009;1(3):176-179

doi:10.4055/cios.2009.1.3.176

Vesicocutaneous Fistula Presenting Groin Abscess and Chronic Osteomyelitis in Pubic Bone.

Sang Bum KIM 1 ; Woong Kyo JUNG ; Dong Ik SONG ; Soon Hyuck LEE

Affiliations

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Keywords

Bladder; Fistula; Chronic osteomyelitis

Country

Republic of Korea

Language

English

Abstract

The authors report a case of bladder fistula associated with a medial thigh cutaneous fistula and chronic osteomyelitis of the pubic bone 11 years after surgery for a pelvic bone fracture and bladder rupture. In the presenting case, despite the clinical suspicion, none of the diagnostic tools demonstrated the bladder fistula preoperatively. This case suggests that bladder repair should be prepared, even if the bladder fistula cannot be confirmed by imaging studies because the amount of urine leakage can be minimal or the fistula can close spontaneously.