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Case Reports
. 2015 Aug 14;3(6):201-3.
doi: 10.1016/j.eucr.2015.06.004. eCollection 2015 Nov.

Enterovesical Fistula Secondary to Squamous Cell Carcinoma of the Bladder

William Sellers  1 , Robert Fiorelli  2
Affiliations
Case Reports

Enterovesical Fistula Secondary to Squamous Cell Carcinoma of the Bladder

William Sellers et al. Urol Case Rep. .

Abstract

Enterovesical fistulas are a well-known complication of inflammatory and malignant bowel disease. Bladder carcinoma, however, is an extremely rare etiology. We describe a case of squamous cell carcinoma of the bladder with an enterovesical fistula. This rare phenomenon has never been previously reported in western literature. We review the diagnosis, work up and treatment of enterovesical fistulas. Unfortunately, the prognosis for these highly invasive tumors is very poor and the treatment is often palliative. The high morbidity and mortality makes management of these patients exceptionally challenging.

Keywords: Bladder carcinoma; Enterovesical fistula; Squamous cell carcinoma.

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Figures

Figure 1
Figure 1
CT scan of fistula with oral contrast passing into bladder.
Figure 2
Figure 2
Low power (4×) SCC invades bowel wall of small intestine.
Figure 3
Figure 3
High power (40×) typical morphology of squamous cell carcinoma.
See this image and copyright information in PMC

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