Asymptomatic Vesicoperitoneal Fistula After Pelvic Radiation: A Case Report and Literature Review

Özet

Vesicoperitoneal fistula (VPF) is a rare complication of pelvic radiation. Patients with VPF often present with signs and symptoms of urinary ascites.Few published reports on patients presenting with VPF for >10 years following pelvic radiation exist. This case report describes an incidentally-foundVPF in a patient 12 years after pelvic radiation for cervical cancer. The patient underwent OR cystoscopy for persistent hematuria, which revealed a3-cm hole in the bladder with protrusion of abdominal contents. Thus, this case demonstrates that VPF may present insidiously in any post-pelvicradiation patient, regardless of duration after radiation.