Tuberculosis of Intestine with Concurrent Complex Enterovesical and Enterocutaneous FistulaCorrespondence Address :
Dr. Deepak Balachandra,
Senior Resident, Department of Gastrointestinal Surgery, GB Pant Hospital, New Delhi-110002, India.
Intestinal tuberculosis is one of the common presentations of tuberculosis. It can manifest with various complications. However, spontaneous development of enterovesical fistula especially in association with colovesical and enterocutaneous fistulae is extremely rare in the era of highly effective Antituberculosis Treatment (ATT). This particular situation poses a management difficulty. Although initial treatment includes medical management, these patients may require some sort of surgical resection and reconstruction. Here, we report the case of a 21-year-old male patient who presented with recurrence of intestinal TB with spontaneous complex ileovesical, sigmoid colovesical and enterocutaneous fistulae. The diagnosis was established with an array of investigations including colonoscopy and biopsy, Contrast Enhanced Computed Tomography (CECT) of the abdomen with fistulogram and cystoscopy. This unusual complex fistula was successfully managed by staged surgical procedure along with ATT.
Anti-tubercular agents, Surgery, Unusual intestinal fistula
Deepak Balachandra, Hirdaya Hulas Nag, Puja Sakhuja, Sandip Barman. TUBERCULOSIS OF INTESTINE WITH CONCURRENT COMPLEX ENTEROVESICAL AND ENTEROCUTANEOUS FISTULA. Journal of Clinical and Diagnostic Research [serial online] 2018 July [cited: 2018 Oct 19 ]; 12:PD03-PD05. Available from
Date of Submission: Dec 21, 2017
Date of Peer Review: Feb 26, 2018
Date of Acceptance: Apr 02, 2018
Date of Publishing: Jul 01, 2018
FINANCIAL OR OTHER COMPETING INTERESTS: None.
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