First Report on Laparoscopic Excision of Ileovesical Fistula and Laparoscopy Assisted Augmentation Ileocystoplasty in Post Radiation Carcinoma Cervix

Sivasankaran Nachimuthu* and Kallappan Senthil

Department of Urology, Ganga Medical Centre and Hospitals Pvt Ltd, Ringgold Standard Institution, Tamil Nadu, India

^*Correspondance to: Sivasankaran Nachimuthu 

 PDF  Full Text DOI: 10.25107/2474-1647.2735

Abstract

Urological complication following radiotherapy for carcinoma cervix is about 2%. We present a case of ileovesical fistula which is a rare complication following radiotherapy in carcinoma cervix. Patient presented with complaints of unusual watery diarrhea for the last two weeks, five years following radiotherapy for carcinoma cervix. Computed tomography revealed thick walled bladder with ileovesical fistula with no hydroureteronephrosis. Cystoscopy revealed small capacity bladder with fistulous tract at dome of the bladder. 8 Fr feeding tube was kept across the fistula. This was followed by laparoscopic excision of fistulous tract. Then by a 4-cm sub-umbilical incision the ileal segment with the fistulous tract was excised. Another 10 cm of normally looking proximal ileal segment was isolated, detubularized, pushed back into the peritoneal cavity and wound closed. Reverting back to laparoscopy, augmentation-ileocystoplasty was done using 3-0 barbed sutures. To our knowledge this is the first report of Laparoscopic excision of Ileovesical fistula and Laparoscopy assisted augmentation Ileocystoplasty in post radiation carcinoma cervix.

Keywords

Laparoscopy assisted augmentation Ileocystoplasty; Laparoscopic excision of Ileovesical Fistula; Carcinoma cervix; Radiation

Cite the article

Nachimuthu S, Senthil K. First Report on Laparoscopic Excision of Ileovesical Fistula and Laparoscopy Assisted Augmentation Ileocystoplasty in Post Radiation Carcinoma Cervix. Clin Surg. 2020; 5: 2735..