Biomaterial Database

Enterovesical fistula from Meckel's diverticulum in a patient with Crohn's ileitis. 1990

J G Petros, and O Argy

Department of Surgery, St. Elizabeth's Hospital, Brighton, Massachusetts 02135.

Formation of a fistula from a Meckel's diverticulum to the bladder is extremely rare and may not be recognized, especially in patients with other gastrointestinal disease. We describe a patient with Crohn's ileitis who was assumed to have two enterovesical fistulae from his diseased ileum. Laparotomy revealed a Meckel's diverticulum with fistulization to the bladder. The diverticulum contained inflamed and ulcerated ectopic gastric mucosa but was not affected by Crohn's disease. We know of only one other report of an enterovesical fistula resulting from a Meckel's diverticulum. In that case, however, the diverticulum did not contain ectopic tissue.

UI	MeSH Term	Description	Entries
D007077	Ileal Diseases	Pathological development in the ILEUM including the ILEOCECAL VALVE.	Disease, Ileal,Diseases, Ileal,Ileal Disease
D007412	Intestinal Fistula	An abnormal anatomical passage between the INTESTINE, and another segment of the intestine or other organs. External intestinal fistula is connected to the SKIN (enterocutaneous fistula). Internal intestinal fistula can be connected to a number of organs, such as STOMACH (gastrocolic fistula), the BILIARY TRACT (cholecystoduodenal fistula), or the URINARY BLADDER of the URINARY TRACT (colovesical fistula). Risk factors include inflammatory processes, cancer, radiation treatment, and surgical misadventures (MEDICAL ERRORS).	Cholecystoduodenal Fistula,Colovesical Fistula,Enterocutaneous Fistula,Fistula, Cholecystoduodenal,Fistula, Colovesical,Fistula, Enterocutaneous,Fistula, Intestinal
D008297	Male		Males
D008467	Meckel Diverticulum	A congenital abnormality characterized by the outpouching or sac formation in the ILEUM. It is a remnant of the embryonic YOLK SAC in which the VITELLINE DUCT failed to close.	Diverticulum, Meckel,Meckel's Diverticulum
D001747	Urinary Bladder Fistula	An abnormal passage in the URINARY BLADDER or between the bladder and any surrounding organ.	Vesical Fistula,Fistula, Urinary Bladder,Fistula, Vesical,Fistulas, Urinary Bladder,Fistulas, Vesical,Urinary Bladder Fistulas,Vesical Fistulas
D003424	Crohn Disease	A chronic transmural inflammation that may involve any part of the DIGESTIVE TRACT from MOUTH to ANUS, mostly found in the ILEUM, the CECUM, and the COLON. In Crohn disease, the inflammation, extending through the intestinal wall from the MUCOSA to the serosa, is characteristically asymmetric and segmental. Epithelioid GRANULOMAS may be seen in some patients.	Colitis, Granulomatous,Enteritis, Granulomatous,Enteritis, Regional,Ileitis, Regional,Ileitis, Terminal,Ileocolitis,Crohn's Disease,Crohn's Enteritis,Inflammatory Bowel Disease 1,Regional Enteritis,Crohns Disease,Granulomatous Colitis,Granulomatous Enteritis,Regional Ileitides,Regional Ileitis,Terminal Ileitis
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328	Adult	A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available.	Adults
D012810	Sigmoid Diseases	Pathological processes in the SIGMOID COLON region of the large intestine (INTESTINE, LARGE).	Sigmoid Colon Diseases,Colon Disease, Sigmoid,Colon Diseases, Sigmoid,Disease, Sigmoid,Disease, Sigmoid Colon,Diseases, Sigmoid,Diseases, Sigmoid Colon,Sigmoid Colon Disease,Sigmoid Disease