An Unusual Case of Tubercular Recto-Prostatic Urethral Fistula
Journal Title: Scholars Journal of Medical Case Reports - Year 2016, Vol 4, Issue 12
Abstract
Rectourethral fistula is an uncommon occurrence. The usual anatomic site of occurrence is the prostatic urethra,in which a communication develops with the rectum. The common causes are surgery or radiotherapy for prostate cancer. Inflammatory causes are rare, and amongst them, tuberculosis is even rarer. There are only 9 cases of tubercular rectourethral fistula reported in literature. In this case report, we present a case of post-tubercular recto-prostatic urethral fistula, which was diagnosed by history, examination, MCU, cystourethroscopy and CT scan. The patient had a history of diagnosed pulmonary tuberculosis, for which he had received anti-tubercular therapy before. The patient was initially treated by urinary diversion along with ATT, and later on, fecal diversion by way of a colostomy was done, which resulted in resolution of symptoms. The patient did not require any definitive surgical repair of the fistula, as it healed on urinary and fecal diversion and medical management. On follow-up, recovery was good. Keywords: tubercular, recto-urethral, fistula, cystourethroscopy.
Authors and Affiliations
Dr. Dilip Kumar Pal, Dr. Soumya Mondal, Dr. Sayak Roy
A Chronically Itching Dusky Bump on Thigh- An Interesting Case
Most cutaneous bumps are benign and are simply referred to as epidermoid cyst as they originate from the follicular infundibulum. These are usually seen in scalp, face, neck and trunk. Once the cyst ruptures, it can som...
Optical coherence tomography and multifocal electro retinogram analysis of unilateral myelinated retinal nerve fibers associated with ipsilateral myopia and amblyopia
This report describes a case of unilateral myelinated retinal nerve fibers associated with ipsilateral myopia and amblyopia. A 9-year-old girl presented with the complaint of diminished vision in her left eye for several...
Human Immunodeficiency Virus Associated Pulmonary Arterial Hypertension: An uncommon etiology of Pulmonary Hypertension
Pulmonary arterial hypertension has a deadly association with Human immunodeficiency virus infection. The incidence of pulmonary hypertension in Human immunodeficiency virus infection is higher than those in general popu...
Multiple Purulent Arthritis, Epidural Abscess, and Panophthalmitis Induced ByStreptococcus dysgalactiaesubsp. Equisimilisinfection
An 80-year-old female who had had difficulty moving for the previous week was transferred to a local medical facility. After obtaining a diagnosis of multiple organ failure with multiple purulent arthritis and epidural a...
A Case of Pulmonary Edema Induced by Hanging
A 47-year-old female committed suicides by hanging in the barn. When emergency medical technicians (EMTs) arrived at the scene, she was in cardiopulmonary arrest and initial rhythm was asystole. On arrival, she had a pl...