Urine in the thigh, an extraordinary complication of pelvic fracture: Vesicocutaneous fistula

Özet

We present a case of a 67-year-old woman who was initially treated conservatively for pelvic fracture. After 4 weeks, she was admitted toour clinic with swelling and pain in the distal part of her right thigh. Ultrasonography and magnetic resonance imaging showed accumulation of fluid between the subcutaneous adipose tissue and fascia. Urine was detected by a puncture. Bladder injury was detected in the leftanterolateral wall using computed tomography. A fistula tract was observed from the right side of the bladder neck in cystogram, whichconfirmed the diagnosis of vesicocutaneous fistula. Bladder drainage was achieved using a urethral catheter, and the fistula was closedwithout any complication. The control cystogram showed healing of the bladder. All the patients with pelvic fractures should be evaluatedby urine analysis and examined for associated urethral or bladder injury using retrograde urethrography and cystography.