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

• 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: radiation cystitis; fistula; vesico-peritoneal fistula
• Online Access: http://jurolsurgery.org/archives/archive-detail/article-preview/asymptomatic-vesicoperitoneal-fistula-after-pelvic/48833

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.