# Management of vesicoenteric fistulas arising from perforated Meckel’s diverticulum: a report of a case and review of the literature

## TL;DR

This paper reports a rare case of a vesicoenteric fistula caused by a perforated Meckel’s diverticulum and reviews existing literature on similar cases.

## Contribution

The novelty lies in presenting a rare clinical case and providing a comprehensive review of vesicoenteric fistulas associated with Meckel’s diverticulum.

## Key findings

- Vesicoenteric fistulas from Meckel’s diverticulum are rare and often present with atypical symptoms.
- The case highlights the diagnostic challenges and the importance of thorough evaluation in such rare conditions.
- Literature review summarizes clinical features and therapeutic approaches for similar cases.

## Abstract

Vesicoenteric fistulas are rare, with an incidence of 0.1%–0.2% in the general population, and Meckel’s diverticulum is a rare cause, accounting for less than 5% of cases with challenging diagnosis due to atypical symptoms at the admission. This article presents a case of a vesicoenteric fistula formation between Meckel’s diverticulum perforated by a foreign body and urinary bladder in a 38-years-old Caucasian male admitted to emergency department due to colicky abdominal pain located in the lower abdomen. An extensive review of the literature was conducted referring all the cases of vesicoenteric fistula incorporating Meckel’s diverticulum to elucidate the clinical characteristics, explore the diagnostic yield, and to summarize the therapeutic approach.