Iranian Journal of Pediatric Surgery

Vol. 11 No. 2 (2025)

Recto-Vesical Fistula Following Foreign Body Rectal Trauma in A Child: A Case Report

Iranian Journal of Pediatric Surgery, Vol. 11 No. 2 (2025), 26 October 2025 , Page 294 - 301
https://doi.org/10.22037/irjps.v11i2.48167

Abstract

Background: Trauma-induced recto-vesical fistulas are uncommon and may result from gunshot wounds, insertion of foreign objects into the rectum, traffic accidents, and rarely, blunt trauma. Managing RVF is challenging, and treatment options should be considered on an individual basis.
Case Report: We report the case of a 10-year-old boy arrived at the emergency department with rectal bleeding two hours after accidental perineal trauma at home, involving the introduction of a metallic foreign object. A rectal exam showed no active bleeding, and lab tests were normal. Due to the unavailability of CT imaging, Exploration under general anesthesia revealed an anterior rectal injury with urine leakage. Laparoscopy exploration confirmed the absence of intra-peritoneal injury. Colostomy and urinary diversion were performed. The bladder catheter was removed after four weeks, with normal cystography findings. At the two-month follow-up, colostomy closure was completed. No recurrence was observed during the six-month follow-up period.
Conclusions: No standardized technique has been established in the literature for the surgical treatment of traumatic RVF. For small traumatic fistulas, particularly in children, urinary and fecal diversion can be effective with low recurrence rates.

Keywords:
  • Recto-vesical fistula
  • recto-urinary fistula
  • fecal diversion
  • perineal trauma
  • blunt trauma
  • foreign body

How to Cite

ahmed, kotti, itami, ahmed, triki, wissem, ines, bejaoui, imen, ganzoui, & sami, bouchoucha. (2025). Recto-Vesical Fistula Following Foreign Body Rectal Trauma in A Child: A Case Report. Iranian Journal of Pediatric Surgery, 11(2), 294–301. https://doi.org/10.22037/irjps.v11i2.48167

References

Yadavalli R D Rajan and Chandana Priyanka. A Case of Rectovesical Fistula Following Blunt Trauma in a Child. Cureus. 2021 Oct; 13(10): e18931.

Yan S, Sun H, Li Z, Liu S, Han B. Conservative treatment of rectovesical fistula after leakage following laparoscopic radical resection of rectal cancer. J IntMed Res. 2020; 48:30.

Xinjie Huang, Sarah Siyin Tan, Yajun Chen and Tian Li2. Acquired Rectourethral and Rectovaginal Fistulas in Children: A Systematic Review. Front Pediatr. 2021; 9: 65.

Abdelmoughit Hosni, Amine Saouli, AbdellatifKoutani, Ahmed IbenAttyaAndalousi, Laila Jroundi and Fatima ZahraeLaamrania. A rectal foreign body: An unexpected cause of a rectovesical fistula with hematuria. Urol Case Rep. 2021 May; 36: 101.

Osterberg E.C., Veith J., Brown C.V.R. Concomitant bladder and rectal injuries: results from the American association for the surgery of trauma multicenter rectal injury study group. J Trauma Acute Care Surg. 2020;88(2):286–291.

Walker GM, Bowen JC: Case report: the transvesical approach to a traumatic rectovesical fistula. Pediatr Surg Int. 2003, 19:303-4. 10.1007/s00383-002-0900-6

Thurairaja R, Whittlestone T: Nonoperative treatment of traumatic rectovesical fistula. J Trauma. 2006, 61:216-8. 10.1097/01.ta.0000224122.70871.36

Sotelo R, Garcia A, Yaime H, et al.: Laparoscopic rectovesical fistula repair. J Endourol. 2005, 19:603-7. 10.1089/end.2005.19.603

Sotelo R, de Andrade R, Carmona O, Astigueta J, Velasquez A, Trujillo G, Canes D: Robotic repair of rectovesical fistula resulting from open radical prostatectomy. Urology. 2008, 72:1344-6. 10.1016/j.urology.2008.06.017

  • Abstract Viewed: 95 times
  • PDF Downloaded: 64 times

Download Statastics

Developed By

Open Journal Systems