A Peculiar Three-way Connection: Colo-urachal-vesical Fistula with Cutaneous Extension
Published: August 1, 2022 | DOI: https://doi.org/10.7860/JCDR/2022/56764.16808
Ankit Vyas, Alhad Mulkalwar, Kamlesh Singh, Bhushan Patil
1. Resident, Department of Urology, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, Maharashtra, India.
2. Intern, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, Maharashtra, India.
3. Resident, Department of Urology, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, Maharashtra, India.
4. Professor (Additional), Department of Urology, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, Maharashtra, India.
Correspondence
Dr. Ankit Vyas,
Resident, Department of Urology, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Acharya Donde Marg, Parel, Mumbai-400012, Maharashtra, India.
E-mail: ankit2vyas@gmail.com
Urachal anomalies are quite a rare phenomenon in adults. This report is about a patient of a colo-urachal-vesical fistula with cutaneous extension. A 68-year-old diabetic male patient presented with purulent umbilical discharge since 15 days. Investigations revealed a colo-urachal-vesical fistula communicating with the umbilicus. He underwent a colo-urachal fistula excision with sigmoid-colectomy and bladder-cuff-excision. A thorough literature search revealed only nine reported cases so-far. While the most common symptom was faeculent umbilical discharge, this patient had a slightly varied-presentation of purulent-discharge. This is also the first study to conclusively demonstrate a vesical connection along with colo-urachal and cutaneous extensions.
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