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

TY - JOUR

T1 - Colovesical fistula an unusual complication of cytotoxic therapy in a case of non-Hodgkin's lymphoma

AU - Ansari, M. S.

AU - Nabi, Ghulam

AU - Singh, Iqbal

AU - Hemal, A. K.

AU - Pandey, Girish

PY - 2001

Y1 - 2001

N2 - 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.

AB - 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.

KW - Colovesical fistula

KW - Cytotoxic therapy

UR - https://www.scopus.com/pages/publications/0035527456

U2 - 10.1023/A:1015269830795

DO - 10.1023/A:1015269830795

M3 - Article

C2 - 12092659

AN - SCOPUS:0035527456

SN - 0301-1623

VL - 33

SP - 373

EP - 374

JO - International Urology and Nephrology

JF - International Urology and Nephrology

IS - 2

ER -