Acta Orthopaedica et Traumatologica Turcica
Case Report

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

1.

Department of Orthopaedics and Traumatology, Metin Sabancı Baltalimanı Bone Diseases Training and Research Hospital, İstanbul, Turkey

2.

Department of Orthopaedics and Traumatology, Bağcılar Training and Research Hospital, İstanbul, Turkey

AOTT 2021; 55: 80-83
DOI: 10.5152/j.aott.2021.20014
Read: 75 Downloads: 22 Published: 22 February 2021

We present a case of a 67-year-old woman who was initially treated conservatively for pelvic fracture. After 4 weeks, she was admitted to our 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 left anterolateral wall using computed tomography. A fistula tract was observed from the right side of the bladder neck in cystogram, which confirmed the diagnosis of vesicocutaneous fistula. Bladder drainage was achieved using a urethral catheter, and the fistula was closed without any complication. The control cystogram showed healing of the bladder. All the patients with pelvic fractures should be evaluated by urine analysis and examined for associated urethral or bladder injury using retrograde urethrography and cystography.

Cite this article as: Albay C, Güleç MA. Urine in the thigh, an extraordinary complication of pelvic fracture: Vesicocutaneous fistula. Acta Orthop Traumatol Turc 2021; 55(1): 80-3.

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ISSN 1017-995X EISSN 2589-1294