Case Report
Copyright ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Urol. Mar 24, 2017; 6(1): 30-33
Published online Mar 24, 2017. doi: 10.5410/wjcu.v6.i1.30
Radical cystectomy and en-bloc resection of enterovesical fistula from bladder cancer
Zi Qin Ng, Willy K W Low, Sathiyananthan Jr, Pradeep Subramanian, Joel Stein
Zi Qin Ng, Willy K W Low, Pradeep Subramanian, Joel Stein, Department of General Surgery, Royal Perth Hospital, Perth 6000, Australia
Sathiyananthan Jr, Department of Urology, Royal Perth Hospital, Perth 6000, Australia
Author contributions: Ng ZQ designed the study, analyzed the data and drafted the article; Low WKW, Jr S and Subramanian P critically reviewed the article; Stein J co-designed the study, critically revised the article; Ng ZQ, Low WKW, Jr S, Subramanian P and Stein J approved final version of the article to be published.
Institutional review board statement: This study does not require an approval from the institutional review board.
Informed consent statement: Written consent was obtained from the patient prior to submission of the article.
Conflict-of-interest statement: Nil.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Zi Qin Ng, MBBS (Hons), Department of General Surgery, Royal Perth Hospital, Wellington Street, Perth 6000, Australia. kentng@hotmail.co.uk
Telephone: +61-8-92242244 Fax: +61-8-92243511
Received: December 23, 2016
Peer-review started: December 28, 2016
First decision: January 16, 2017
Revised: January 21, 2017
Accepted: February 20, 2017
Article in press: February 21, 2017
Published online: March 24, 2017
Processing time: 68 Days and 23.5 Hours
Core Tip

Core tip: A 68-year-old lady presented with per rectal bleeding and haematuria. Other important history includes her reporting diarrhea with associated weight loss over the last 3 mo and faecaluria, pneumaturia and rectal micturition. On presentation, she was found to be in severe metabolic acidosis with hypokalemia. A computed tomography scan with rectal contrast showed an enterovesical fistula from bladder to a loop of small bowel. She underwent radical cystectomy, en-bloc resection of a loop of the involved small bowel and sigmoid colon with formation of ileal conduit and end-colostomy.