[Pubmed] Vesicocolic fistula in myasthenia gravis patient: A case report

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Medicine (Baltimore). 2025 Oct 31;104(44):e45586. doi: 10.1097/MD.0000000000045586.

ABSTRACT

RATIONALE: Vesicocolic fistula is a rare disease, and surgical intervention is the only available treatment, while complications can arise when patients also suffer from myasthenia gravis, a neuromuscular disease that can be exacerbated by the stress of surgery.

PATIENT CONCERNS: We report a 60-year-old male with a history of heart disease, myasthenia gravis, and other comorbidities who was admitted with complaints of fecaluria for the past 18 months.

DIAGNOSES: Computed tomography showed bladder cancer involving the distal descending colon, with a high suspicion of a vesicocolic fistula. In addition, multiple diverticula were observed in both the descending and sigmoid colon.

INTERVENTIONS: In this case, a multidisciplinary approach and careful perioperative management enabled the successful resolution of the fistula while minimizing risks associated with the patient's underlying condition. Finally, the fistula was successfully solved by laparoscopic surgery.

OUTCOMES: At 3 months postoperatively, the patient recovered well and did not reappear with the previous symptom.

LESSONS: Vesicocolic fistula complicated by myasthenia gravis poses unique challenges in surgical management. We summarized the clinical features and treatment methods of this vesicocolic fistula, hoping to contribute to the development of the surgical treatment strategies for vesicocolic fistula and provide insights for others experiencing similar conditions.

PMID:41261588 | DOI:10.1097/MD.0000000000045586


Source: https://pubmed.ncbi.nlm.nih.gov/4126158 ... 22+67771e2