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. 2022 Sep 30;2022(9):rjac419.
doi: 10.1093/jscr/rjac419. eCollection 2022 Sep.

Laparoscopic treatment of entero-neobladder fistula after radical cystectomy

Ana Sofia Araújo  1 , Sara Anacleto  1 , Catarina Laranjo-Tinoco  1 , Andreia Cardoso  1 , Nuno Morais  1 , João Nuno Torres  1 , Miguel Mendes  1 , Ricardo Leão  2 , Emanuel Carvalho-Dias  1
Affiliations

Laparoscopic treatment of entero-neobladder fistula after radical cystectomy

Ana Sofia Araújo et al. J Surg Case Rep. .

Abstract

Entero-neovesical fistula is a rare complication of orthotopic ileal neobladder after radical cystectomy occurring in <2% of cases. Surgical treatment is usually required and includes open resection of the affected bowel tract and reconstitution of bowel transit. Here we present a case of a laparoscopic treatment of entero-to-neobladder fistula 8 years after laparoscopic radical cystectomy to demonstrate the feasibility and safety of minimally invasive treatment (Supplementary Video). To the best of our knowledge, this is the first report of minimally invasive treatment of entero-neobladder fistula.

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Figures

Figure 1
Figure 1
(A). CT scan with oral contrast (axial view) revealed passage of contrast from an ileal loop to neobladder. (B). CT scan with oral contrast (coronal view) showing multiple stones in neobladder.
Figure 2
Figure 2
Trocars placement.
See this image and copyright information in PMC

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