Summary
Formation of a fistula from a Meckel's diverticulum to the bladder is extremely rare and may not be recognized, especially in patients with other gastrointestinal disease. We describe a patient with Crohn's ileitis who was assumed to have two enterovesical fistulae from his diseased ileum. Laparotomy revealed a Meckel's diverticulum with fistulization to the bladder. The diverticulum contained inflamed and ulcerated ectopic gastric mucosa but was not affected by Crohn's disease.
We know of only one other report of an enterovesical fistula resulting from a Meckel's diverticulum.
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References
White AF, Kook SO, Weber AL, James AE: Radiologic manifestations of Meckel's diverticulum. Am J Roentgenol Radium Ther Nucl Med 118:86–94, 1973
Dearden MK, Humphreys WG: Meckel's diverticulum: A vesico-diverticular fistula. Ulster Med J 52:73–74, 1983
Leslie MD, Slater ND, Smallwood CJ: Small bowel fistula from a Littre's hernia. Br J Surg 70:244, 1983
McKay I, Calder J: Meckel's diverticulum presenting as a fistula-in-ano. Br Med J 4:31–32, 1973
Berne AS: Meckel's diverticulum: X-ray diagnosis. N Engl J Med 260:690–696, 1959
Kump WL, Jorgens J, Rigler L: Ectopic gastric mucosa in a congenital small bowel diverticulum. Radiology 65:881–885, 1955
Rosenthall L, Henry JN, Murphy DA, Freeman LM: Radiopertechnetate imaging of Meckel's diverticulum. Radiology 105:371–373, 1972
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Petros, J.G., Argy, O. Enterovesical fistula from Meckel's diverticulum in a patient with Crohn's ileitis. Digest Dis Sci 35, 133–136 (1990). https://doi.org/10.1007/BF01537234
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DOI: https://doi.org/10.1007/BF01537234