摘要
Congenital uro or genito-digestive fistulas are frequently found in the context of caudal pole malformations. Isolated congenital forms without associated anorectal malformation have not been reported until now. We report the first case we know a 9 year old female child received in a pediatric surgery consultation for fecaluria evolving since birth with a permeable anus. She presented a good general condition, a good staturo-ponderal and psychomotor development, a vulva soiled by stool and a permeable anus with a tonic sphincter. A retrograde urethrocystography revealed a caeco-vesical fistula. Surgery consisted of ligation-section of the caeco-vesical septum. A follow-up urethrocystography at three months post-surgery no longer visualized the fistula. Our post-operative follow-up is 4 years. Isolated congenital caeco-vesical fistula is an unknown pathology whose late diagnosis can have serious repercussions.
Congenital uro or genito-digestive fistulas are frequently found in the context of caudal pole malformations. Isolated congenital forms without associated anorectal malformation have not been reported until now. We report the first case we know a 9 year old female child received in a pediatric surgery consultation for fecaluria evolving since birth with a permeable anus. She presented a good general condition, a good staturo-ponderal and psychomotor development, a vulva soiled by stool and a permeable anus with a tonic sphincter. A retrograde urethrocystography revealed a caeco-vesical fistula. Surgery consisted of ligation-section of the caeco-vesical septum. A follow-up urethrocystography at three months post-surgery no longer visualized the fistula. Our post-operative follow-up is 4 years. Isolated congenital caeco-vesical fistula is an unknown pathology whose late diagnosis can have serious repercussions.
作者
Lucienne Irène Patricia Ondima
Melvin Ondongo Atipo
Steve Aristide Ondziel Opara
Didace Massamba-Miabaou
Régis Moyikoua
Peggy Dalhia Galou Mawandza
Moï
se Yanguedet Service
Caryne Mboutol-Mandavo
Pierre Aymar Oko
Jean-Claude Mieret
Cardinale Princilia Okiemy Niendet
Gracia Christelle Ossete
Erica Nuptia Akobande
Anani Wenceslas Séverin Odzébé
Prosper Bouya
Lucienne Irène Patricia Ondima;Melvin Ondongo Atipo;Steve Aristide Ondziel Opara;Didace Massamba-Miabaou;Régis Moyikoua;Peggy Dalhia Galou Mawandza;Moïse Yanguedet Service;Caryne Mboutol-Mandavo;Pierre Aymar Oko;Jean-Claude Mieret;Cardinale Princilia Okiemy Niendet;Gracia Christelle Ossete;Erica Nuptia Akobande;Anani Wenceslas Séverin Odzébé;Prosper Bouya(Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of Congo;Pediatric Surgery Department, University Hospital Center, Brazzaville, Republic of Congo;Urology and Andrology Department, University Hospital Center, Brazzaville, Republic of Congo;Visceral Surgery Department, University Hospital Center, Brazzaville, Republic of Congo;Medical Imaging Department, University Hospital Center, Brazzaville, Republic of Congo;Multipurpose Resuscitation Department, University Hospital Center, Brazzaville, Republic of Congo;Pediatric Intensive Care Unit, University Hospital Center, Brazzaville, Republic of Congo)
