Tuberculosis of Intestine with Concurrent Complex Enterovesical and Enterocutaneous Fistula
Journal Title: Journal of Clinical and Diagnostic Research - Year 2018, Vol 12, Issue 7
Abstract
Intestinal tuberculosis is one of the common presentations of tuberculosis. It can manifest with various complications. However, spontaneous development of enterovesical fistula especially in association with colovesical and enterocutaneous fistulae is extremely rare in the era of highly effective Antituberculosis Treatment (ATT). This particular situation poses a management difficulty. Although initial treatment includes medical management, these patients may require some sort of surgical resection and reconstruction. Here, we report the case of a 21-year-old male patient who presented with recurrence of intestinal TB with spontaneous complex ileovesical, sigmoid colovesical and enterocutaneous fistulae. The diagnosis was established with an array of investigations including colonoscopy and biopsy, Contrast Enhanced Computed Tomography (CECT) of the abdomen with fistulogram and cystoscopy. This unusual complex fistula was successfully managed by staged surgical procedure along with ATT.
Authors and Affiliations
Deepak Balachandra, Hirdaya Hulas Nag, Puja Sakhuja, Sandip Barman
Keywords
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- EP ID EP524262
- DOI 10.7860/JCDR/2018/35275.11723
- Views 75
- Downloads 0
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