# Small Bowel Obstruction Associated With Ureterocutaneous Fistula After a Radical Cystectomy: A Case Report

## TL;DR

A man in his 60s experienced a rare case of small bowel obstruction caused by a ureterocutaneous fistula after a radical cystectomy.

## Contribution

This case report highlights the rarity and diagnostic challenges of internal hernias caused by ureterocutaneous fistulas following urinary diversion.

## Key findings

- Small bowel obstruction was caused by an internal hernia from a ureterocutaneous fistula.
- Preoperative diagnosis of such hernias is challenging due to their resemblance to adhesive bands.
- Surgical management is required to address the obstruction and prevent intraoperative injury.

## Abstract

This is a case report of a man in his 60s who was diagnosed with a small bowel obstruction due to an internal hernia caused by a ureterocutaneous fistula.

Internal hernia caused by the ureter following urinary diversion is rare, posing challenges in preoperative diagnosis and carrying the risk of intraoperative injury due to the resemblance of a ureterocutaneous fistula to an adhesive band. The presentation and surgical management are discussed in this case report.