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Laparoscopic treatment of a vesicointestinal fistula due to a Meckel’s diverticulum: a case report and review of the literature

Clinical Journal of Gastroenterology volume 11, pages 476–480 (2018)Cite this article

Abstract

While there have been numerous reports about colovesical fistulas and ruptured intestinal diverticula, there have been far fewer reports about vesicointestinal fistulas caused by Meckel’s diverticula. Most Meckel’s diverticula are asymptomatic. Furthermore, they seldom cause vesicointestinal fistulas, and the associated complications are non-specific. Thus, their preoperative diagnosis is difficult. We experienced a case in which a vesicointestinal fistula was caused by a Meckel’s diverticulum and was treated with laparoscopic surgery. A 46-year-old male was referred to our hospital after exhibiting hematuria. Cystoscopy revealed a fistula between the small intestine and bladder. Contrast-enhanced computed tomography and magnetic resonance imaging showed a diverticulum in the ileum and a fistula between the ileum and bladder, which passed through the diverticulum. A Meckel’s diverticulum was suspected. We conducted a laparoscopic operation. We dissected the Meckel’s diverticulum with an automatic suturing device and removed it together with part of the ileum. The patient’s postoperative course was good. We experienced a case in which a vesicointestinal fistula was caused by a Meckel’s diverticulum and was successfully treated with laparoscopic surgery. In selected cases of Meckel’s diverticulum, the dissection of the diverticulum with an automatic suturing device is appropriate.

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Acknowledgements

The authors appreciate the patient’s consent for this case presentation.

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Affiliations

  1. Department of Surgery, Hitachi General Hospital, 2-1-1 Jonan-cho, Hitachi, Ibaraki, 317-0077, Japan

    Hiroyuki Hakoda, Hideyuki Mishima, Takumi Habu, Shin Murai, Ryohei Maeno, Yuriko Yokomizo, Yuki Inagaki, Takehito Maruyama, Yuichi Matsui & Akihiro Sako

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  1. Hiroyuki Hakoda
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  2. Hideyuki Mishima
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  3. Takumi Habu
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  4. Shin Murai
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  5. Ryohei Maeno
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  6. Yuriko Yokomizo
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  7. Yuki Inagaki
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  8. Takehito Maruyama
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  9. Yuichi Matsui
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  10. Akihiro Sako
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Contributions

HH and HM carried out the surgery and postoperative management. HH and HM prepared and drafted the manuscript. HM corrected and revised the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Hiroyuki Hakoda.

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The authors declare they have no competing interests.

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All procedures followed have been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.

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Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the editor of this journal.

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Hakoda, H., Mishima, H., Habu, T. et al. Laparoscopic treatment of a vesicointestinal fistula due to a Meckel’s diverticulum: a case report and review of the literature. Clin J Gastroenterol 11, 476–480 (2018). https://doi.org/10.1007/s12328-018-0878-9

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  • DOI: https://doi.org/10.1007/s12328-018-0878-9

Keywords

  • Meckel’s diverticulum
  • Vesicointestinal fistula
  • Laparoscopy