Recto-Vesical Fistula Following Foreign Body Rectal Trauma in A Child: A Case Report
نویسندگان
1 Pediatric surgeon, department of general surgery ,university hospital of Bizerte ,Tunisia
2 General surgeon, department of general surgery ,university hospital of Bizerte ,Tunisia.
3 Radiologist , head of department of radiology ,university hospital of Bizerte ,Tunisia.
4 General surgeon, department of general surgery ,university hospital of Bizerte ,Tunisia.
5 General surgeon, department of general surgery ,university hospital of Bizerte ,Tunisia.
6 Professor General surgeon, head of department of general surgery ,university hospital of Bizerte ,Tunisia.
doi
10.22037/irjps.v11i2.48167چکیده
Background: Trauma-induced recto-vesical fistulas are uncommon and may result from gunshot wounds, insertion of foreign objects into the rectum, traffic accidents, and rarely, blunt trauma. Managing RVF is challenging, and treatment options should be considered on an individual basis.Case Report: We report the case of a 10-year-old boy arrived at the emergency department with rectal bleeding two hours after accidental perineal trauma at home, involving the introduction of a metallic foreign object. A rectal exam showed no active bleeding, and lab tests were normal. Due to the unavailability of CT imaging, Exploration under general anesthesia revealed an anterior rectal injury with urine leakage. Laparoscopy exploration confirmed the absence of intra-peritoneal injury. Colostomy and urinary diversion were performed. The bladder catheter was removed after four weeks, with normal cystography findings. At the two-month follow-up, colostomy closure was completed. No recurrence was observed during the six-month follow-up period.Conclusions: No standardized technique has been established in the literature for the surgical treatment of traumatic RVF. For small traumatic fistulas, particularly in children, urinary and fecal diversion can be effective with low recurrence rates.
