Asymptomatic Vesicoperitoneal Fistula After Pelvic Radiation: A Case Report and Literature Review

Vesicoperitoneal fistula (VPF) is a rare complication of pelvic radiation. Patients with VPF often present with signs and symptoms of urinary ascites. Few published reports on patients presenting with VPF for >10 years following pelvic radiation exist. This case report describes an incidentally-f...

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Bibliographic Details
Main Authors: Hannah Kay, Pooja Srikanth, J. Stuart Wolf, E. Charles Osterberg
Format: Article
Language:English
Published: Galenos Yayinevi 2021-09-01
Series:Journal of Urological Surgery
Subjects:
Online Access: http://jurolsurgery.org/archives/archive-detail/article-preview/asymptomatic-vesicoperitoneal-fistula-after-pelvic/48833
Description
Summary:Vesicoperitoneal fistula (VPF) is a rare complication of pelvic radiation. Patients with VPF often present with signs and symptoms of urinary ascites. Few published reports on patients presenting with VPF for >10 years following pelvic radiation exist. This case report describes an incidentally-found VPF in a patient 12 years after pelvic radiation for cervical cancer. The patient underwent OR cystoscopy for persistent hematuria, which revealed a 3-cm hole in the bladder with protrusion of abdominal contents. Thus, this case demonstrates that VPF may present insidiously in any post-pelvic radiation patient, regardless of duration after radiation.
ISSN:2148-9580