Parastomal Hernia as a Risk Factor for Ileal Conduit Fistulae

Thomas A. A Skinner, Richard W Norman

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DOI: 10.4236/ijcm.2011.23048                

Abstract

Purpose: To review potential risk factors for the development of ileal conduit fistulae. Methods: Two patients were identified who had a remote history of an ileal conduit and who formed a fistula from the conduit—one to the small bowel and one to the skin. Their presentation, management and outcomes are described. Results: Both patients had parastomal hernias as the likely cause of their fistula formation. Discussion: Parastomal herniation may contribute to fistula formation due to a strangulated ischemic pressure necrosis of the adjacent ileal conduit and/or bowel.

Keywords

Fistula, Ileal Conduit, Parastomal Hernia, Urinary Diversion

Conflicts of Interest

The authors declare no conflicts of interest.

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