Septic arthritis secondary to vesico-acetabular fistula: a case report.

The second case of septic arthritis resulting from a vesico-acetabular fistula secondary to a penetrating injury is reported. Despite reported good results in blunt trauma with hip and urinary tract drainage combined with appropriate antibiotics, improvement occurred in our patient only after surgical excision of the fistulous tract. It appears that in some cases early fistulectomy can shorten hospital stay and reduce the incident of complete ankylosis.