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Case Reports in Urology
Volume 2015 (2015), Article ID 902673, 3 pages
http://dx.doi.org/10.1155/2015/902673
Case Report

Enterovesical Fistula Caused by a Toothpick

Department of Urology, Regional Hospital of Marche Region “Ospedali Riuniti Umberto I, Lancisi, Salesi”, Ancona, Italy

Received 10 January 2015; Accepted 10 February 2015

Academic Editor: Christian Pavlovich

Copyright © 2015 Flavia Tombolini et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We present a case of enterovesical fistula caused by an accidental ingestion of a foreign body. A 23-year-old man presented to our hospital with pneumaturia, fecaluria, and abdominal pain but no recent possible causes of enterovesical fistula at anamnesis. Cystoscopy, cystography, and also colonoscopy were not able to detect the fistulous tract. Computer tomography (CT) revealed a fistula between bladder and bowels caused by a toothpick accidentally swallowed 2 years earlier. We tried to remove the foreign body endoscopically by cystoscopy and colonoscopy but with no success. The failure of endoscopic procedures required a surgical treatment. The patient underwent laparoscopic segmental resection of the sigmoid colon to remove the fistulous tract and the foreign body. The cystography revealed no external leakage of contrast from the bladder with complete resolution of the problem.