Colovesical fistula secondary to hernia mesh migration: an unusual incident

Publication date: Available online 4 February 2017 Source:Journal of Coloproctology Author(s): Ramanathan Sabarinathan, Krishnamoorthy Veeraraghavan, Ratnakar Kini, Thangavel Pugazhendhi, Sundarraj Raju We evaluated a 27-year old male with pneumaturia and fecaluria with a past history of right inguinal hernia repair. Though, cystoscopy and contrast enhanced computed tomography (CECT) did not furnish any evidence to arrive at a diagnosis, interestingly, colonoscopy revealed a mesh in the sigmoid colon making apparent the diagnosis of colovesical fistula (CVF) secondary to mesh migration. Later, surgical removal of the mesh from the sigmoid colon with rent closure of the fistulous opening was done successfully. Our case thus, highlights the vital role of common diagnostic tool like colonoscopy in making an uncommon diagnosis.
Source: Journal of Coloproctology - Category: Gastroenterology Source Type: research