A vesicocutaneous fistula is a tract that forms a connection between the bladder and the skin, and is most commonly associated with a suprapubic cystostomy tract that fails to close.
A pelvic CT scan with contrast was arranged (figure 2-4), which confirmed a vesicocutaneous fistula.
To the best of our knowledge, the only previous reports of a vesicocutaneous fistula post-radiotherapy include a case report by Lau et al, describing the sequelae of the fistula in a patient who had suffered vulval cancer.
The patient in our case report was diagnosed with a vesicocutaneous fistula following the presentation, operative findings, and imaging provided.
Only one year after receiving radiotherapy, as described in the case report, the patient presented to our hospital, where the complication of a vesicocutaneous fistula was diagnosed.
When considering the management of a vesicocutaneous fistula in a patient who is post-radiotherapy, tissue viability is always a concern because post-operative healing may be affected.
Vesicocutaneous fistula mimicking an abdominal wall abscess 2 years after radical abdominal hysterectomy.
Vesicocutaneous fistula 23 years after hip arthroplasty.
A vesicocutaneous fistula secondary to bladder calculi in a patient with spina bifida.
Delayed vesicocutaneous fistula after radiation therapy for advanced vulvar cancer.