• Deepak Kumar Yadav, Bahadur AdhikariMaheshMDepartment of Urology and Kidney Transplant, Nepal Mediciti Hospital, Nakhkhu Patan, Karyabinayak, Lalitpur, Nepal., Bipin Maharjan, Prashant Mishra, and Pramesh Prasad Shrestha.
• Department of Urology and Kidney Transplant, Nepal Mediciti Hospital, Nakhkhu Patan, Karyabinayak, Lalitpur, Nepal.
• JNMA J Nepal Med Assoc. 2024 Jan 2; 62 (269): 586158-61.

UnlabelledEnterovesical fistula represents an abnormal communication between the intestine and bladder. The causes are diverticulitis (56.3%), malignant tumours, which are located mainly in the intestine (20.1%), and Crohn's disease (9.1%). Other causes include iatrogenic injury (3.2%); trauma; foreign bodies in the intestinal tract; radiotherapy; chronic appendicitis; tuberculosis; and syphilis. Normal vaginal delivery as a cause for enterovesical fistula has not been reported in many publications yet. We report a case of a 30-year-old female, who developed an jejunovesical fistula after normal vaginal delivery. It was diagnosed after diagnostic cystoscopy and computed tomography of the abdomen and pelvis. There was jejuno-vesical fistula. Resection of the segment of the jejunum with side-to-side anastomosis with bladder repair was done. A follow-up cystogram was done which showed no contrast extravasation into the peritoneum. The patient was followed up for 9 months after surgery.Keywordscase reports; fistula; jejunum; urinary bladder.

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