TITLE:
Parastomal Hernia as a Risk Factor for Ileal Conduit Fistulae
AUTHORS:
Thomas A. A Skinner, Richard W Norman
KEYWORDS:
Fistula, Ileal Conduit, Parastomal Hernia, Urinary Diversion
JOURNAL NAME:
International Journal of Clinical Medicine,
Vol.2 No.3,
July
19,
2011
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.