Colovesical fistula an unusual complication of cytotoxic therapy in a case of non-Hodgkin's lymphoma

M. S. Ansari, Ghulam Nabi, Iqbal Singh, A. K. Hemal, Girish Pandey

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

A 65-year old man, a known case of non-Hodgkin's lymphoma of base of the tongue and epiglottis presented with complaints of penumaturia and faecaluria. He had received the first cycle of cytotoxic therapy (CHOP-regimen). At the end of the cycle he developed febrile neutropenia (circulating granulocyte count <1500/mm3). Cystogram showed air in the bladder area and a fistulous communication to a cavity behind the bladder. CT-scan showed air in the bladder, a fistulous communication between the sigmoid colon and bladder along with an intervening small abscess cavity. On exploration a fistulous communication between the sigmoid and bladder along with an intervening small abscess cavity was found Resection of involved portion of sigmoid and end to end anastomosis along with a diverting colostomy was done. The bladder was closed in two layers with an omental interposition between it and the sigmoid along with a suprapubic cystostomy. The histopathology demonstrated only inflammatory response without any evidence of malignancy or diverticular disease.

Original languageEnglish
Pages (from-to)373-374
Number of pages2
JournalInternational Urology and Nephrology
Volume33
Issue number2
DOIs
Publication statusPublished - 2001

Keywords

  • Colovesical fistula
  • Cytotoxic therapy

Fingerprint Dive into the research topics of 'Colovesical fistula an unusual complication of cytotoxic therapy in a case of non-Hodgkin's lymphoma'. Together they form a unique fingerprint.

Cite this