Tuberculous Ileo-Vesical Fistula; A Rare Case Report

Intestinal tuberculosis is one of the common type of extra pulmonary tuberculosis. Spontaneous development of enterovesical fistula is extremely rare in the era of highly effective antituberculous treatment (ATT). These patients usually require some sort of surgical resection and reconstruction followed by ATT. Here, we report a case of a 40-year-old male patient who presented with spontaneous ileo-vesical fistulae. The diagnosis was established with abdominal & pelvic ultrasound, Contrast Enhanced Computed Tomography (CECT) of the abdomen and Barium meal and follow through study. Cystoscopy was permed to confirm communication and rule out any other bladder pathology. This unusual fistula was successfully managed by resection of involved ileum, closure of bladder followed by ATT with successful outcome.