Abstract

A 75-year-old woman was seen at the hospital because of fecaluria. Cystoscopy revealed an opening suspecting of fistula orifice at the top of the cyst. Cystography visualized an influx of contrast medium from fistula orifice into the ileus. Abdominal CT revealed not tumor image. With barium enema there were any findings suggestive of malignant colorectal tumor. From the above, the patient was diagnosed as having a vesicoileal fistula and partial ileocystectomy was carried out. In the resected ileum multiple diverticula were noted; one of those diverticula formed a fistula with the cyst; and another diverticulum perforated into the cyst. Histologically the presence of diverticula was also confirmed. It was thought that patient had a vesicointestinal fistula caused by diverticulitis of the ileum.

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