Julie J Freeman1, Dominic L P Storto, Cristóbal S Berry-Cabán. 1. Julie J. Freeman, RN, MSN, ACNS-BC, CWOCN, Department of Nursing, Womack Army Medical Center, Fort Bragg, North Carolina. Dominic L. P. Storto, DO, Department of Surgery, Womack Army Medical Center, Fort Bragg, North Carolina. Cristóbal S. Berry-Cabán, PhD, Department of Research, Womack Army Medical Center, Fort Bragg, North Carolina.
Abstract
BACKGROUND: This article describes an unusual case of a vesicocutaneous fistula in a patient with a history of radiation therapy and recent abdominal surgery. CASE: A 61-year-old woman was transferred to our acute care facility from a rehabilitation facility, with poor nutritional intake and a concern for urine draining from her wound. A nephrostomy tube was placed (she had only 1 functioning kidney) and negative-pressure wound therapy was used to close the fistula. CONCLUSION: Urinary diversion via a nephrostomy tube and negative-pressure wound therapy were used to successfully and safely close this vesicocutaneous fistula.
BACKGROUND: This article describes an unusual case of a vesicocutaneous fistula in a patient with a history of radiation therapy and recent abdominal surgery. CASE: A 61-year-old woman was transferred to our acute care facility from a rehabilitation facility, with poor nutritional intake and a concern for urine draining from her wound. A nephrostomy tube was placed (she had only 1 functioning kidney) and negative-pressure wound therapy was used to close the fistula. CONCLUSION: Urinary diversion via a nephrostomy tube and negative-pressure wound therapy were used to successfully and safely close this vesicocutaneous fistula.