# Jejunovesical Fistula Diagnosis After Normal Vaginal Delivery: A Case Report

## TL;DR

A rare case of jejunovesical fistula, an abnormal connection between the jejunum and bladder, was diagnosed in a woman after a normal vaginal delivery and successfully treated with surgery.

## Contribution

This case report presents a rare instance of jejunovesical fistula caused by normal vaginal delivery, not previously well-documented in medical literature.

## Key findings

- Jejunovesical fistula was diagnosed using cystoscopy and abdominal CT in a postpartum woman.
- Surgical resection of the affected jejunum and bladder repair resolved the fistula with no complications observed in 9 months of follow-up.

## Abstract

Enterovesical fistula represents an abnormal communication between the intestine and bladder. The causes are diverticulitis (56.3%), malignant tumours, which are located mainly in the intestine (20.1 %), and Crohn's disease (9.1%). Other causes include iatrogenic injury (3.2%); trauma; foreign bodies in the intestinal tract; radiotherapy; chronic appendicitis; tuberculosis; and syphilis. Normal vaginal delivery as a cause for enterovesical fistula has not been reported in many publications yet. We report a case of a 30-year-old female, who developed an jejunovesical fistula after normal vaginal delivery. It was diagnosed after diagnostic cystoscopy and computed tomography of the abdomen and pelvis. There was jejuno-vesical fistula. Resection of the segment of the jejunum with side-to- side anastomosis with bladder repair was done. A follow-up cystogram was done which showed no contrast extravasation into the peritoneum. The patient was followed up for 9 months after surgery.