A novel surgical technique to localize small enteropouch fistula

Abbas Basiri¹ , Emadoddin Mo'oudi² , Hamed Akhavizadegan² and Naser ShakhsSalim²

¹Professor of Urology, Urology/Nephrology Research Center, Shaheed Labbafinejad Hospital, Shaheed Beheshti University of Medical Sciences, Tehran, Iran

²Resident of Urology, Shaheed Labbafinejad Hospital, Shaheed Beheshti University of Medical Sciences, Tehran, Iran

author email corresponding author email

BMC Urology 2005, 5:16doi:10.1186/1471-2490-5-16


Published:	30 November 2005

Abstract

Background

One of the rare complications of ileal neobladder after radical cystectomy is pouch-to-intestine fistula. There isn't a classic method to intraoperative diagnosis of small fistula.

Case presentation

An entero-pouch fistula was occurred in a patient after radical cystectomy with illeal orthotopic pouch. Because of failed conservative management, the patient was candidate for surgery. The hidden small fistula in the small intestine was diagnosed by high intraluminal hydrostatic pressure (by intraluminal saline injection).

Conclusion

Intraoperative diagnosis the intestinal opening of a small fistula is very important. At the time of surgery if the fistula tract becomes open (during releasing the adhesions), it may leak in the peritoneum in postoperative period. Intraluminal high pressure is a useful method for intraoperative small hidden intestine opening.