Post Traumatic Vesicocutaneous Fistula in the Thigh

A 12-year-old boy presented with fever, suprapubic pain, swelling and watery discharge from the repaired wound site at the right upper thigh. He had a history of fall from a tree and sustained penetrating injury to right thigh by a sharp wooden twig two days back. Primary treatment and repair of the wound was done by a local physician. Though he was able to void, he subsequently developed suprapubic swelling and pain with continuous watery discharge from the wound site. On examination, boy was febrile and lower abdomen was tender. There was 10 cm x 10 cm ill-defined swelling involving lower abdomen, right groin and inner thigh along with a 4 cm size stitched wound at about 7.5 cm below and lateral to the right pubic tubercle. From the inner corner of the wound, clear fluid was trickling intermittently.