Diagnosis and management of colovesical fistulae; six‐year experience of 90 consecutive cases

Garcea, Giuseppe; Majid, Ibrar; Sutton, Christopher; Pattenden, C. J.; Thomas, W. M.

doi:10.1111/j.1463-1318.2005.00928.x

Cited by 121 publications

(120 citation statements)

References 21 publications

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“…CT scan can illustrate small amounts of air or contrast media within the bladder, localized thickening of the bladder wall, or an extraluminal mass adjacent to the bladder. Three-dimensional reconstruction is useful when traditional axial and coronal images fail to demonstrate the anatomy in sufficient detail [4].…”

Section: Discussionmentioning

confidence: 99%

Refractory urinary tract infection in a male with colovesical fistula

Liang¹,

Hsiao²,

Chen³

et al. 2015

Int Arch Med

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A colovesical fistula is a communication between the lumen of the colon and the bladder, which sometimes results from diverticulitis. The left or sigmoid colon is the most commonly involved segment. The most usual presenting symptoms are pneumaturia and fecaluria, followed by dysuria, abdominal pain and, rarely, hematuria; these patients also often present with symptoms of recurrent/chronic urinary tract infection.We present here the case of a 57-year-old man complaining of recurrent lower urinary tract symptoms followed by pneumaturia and fecaluria. Computed tomography of the abdomen and pelvis revealed a colovesical fistula due to sigmoid diverticulitis. After locating the fistula, the lesion was totally removed, including the segmental sigmoid colon and partial bladder. The anastomosis was completed with a circular stapler and the bladder defect wall was repaired with double suture. The patient was doing well 3 months post-operatively and showed no evidence of urinary tract infection. Patients with repeated and refractory urinary tract infections should be considered for anatomical disorders such as colovesical fistula.

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Section: Discussionmentioning

confidence: 99%

Refractory urinary tract infection in a male with colovesical fistula

Liang¹,

Hsiao²,

Chen³

et al. 2015

Int Arch Med

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“…Bowel resection with primary anastomosis is advocated in the majority of EVF cases [32]. Successful one-stage resections have been reported in 18% to 92% of EVF cases [34] Surgical technique involves blunt dissection of the bowel from the bladder, resection of the intestine, and primary anastomosis. As an opening of a fistulous tract in the bladder may not be directly visible, distention of the bladder with methylene blue solution instilled through a catheter may be helpful.…”

Section: Discussionmentioning

confidence: 99%

A Rare Cause of Entero-Vesical Fistula Caused by a Skewer, Multidisciplinary Management and Minimally-Invasive Surgical Correction

Campagnacci¹

2014

Surgery

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Entero-vesical fistulae (EVf) occurs rarely but it is a serious clinical condition often correlated with other pathologies. It accounts for 1 to 3000 hospital accesses/year. We present a patient with a sigmoid-vesical fistulae caused by the accidental ingestion of a wood skewer two years before. In literature about 6,09 % of accesses in the first aid area(FAa) are due to the ingestion of foreign bodies(FBs) but in 80-90% of them they are expelled with stools. In frequently FBs in the lower gastrointestinal tract can be the result of an orally ingested sharp object that becomes impacted. The management of this case was multidisciplinary, and the correction was a laparoscopic one time approach.

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“…Majority of cases of colovesical fistula are from diverticular disease [6]. Other causes include colon cancer, crohn's disease, surgeries and actinomycosis [5] [6] [7] [8]. It is less common in females because there is interposition of the female reproductive organs between the colon and the bladder [9].…”

Section: Discussionmentioning

confidence: 99%

“…Presenting features include fecaluria, pneumaturia and recurrent urinary tract infection [5] [6] [7]. Other symptoms are dysuria, urinary frequency, haematuria, haematochezia, diarrhoea, alteration of bowel habit, urinary flow via the rectum and abdominal pain [5] [7] [10].…”

Section: Discussionmentioning

confidence: 99%

Enterovesical Fistula Complicating Myomectomy: A Case Report

Ekwedigwe¹,

Sunday-Adeoye²,

Lengman³

et al. 2017

OJU

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Background: Enterovesical fistula is an abnormal communication between the bladder and the gastrointestinal tract. It is an uncommon type of genital fistula, occasionally complicating pelvic surgeries. However, it is the most common type of fistula associated with diverticular disease of the colon. Other causes include cancer, trauma and iatrogenic injuries. Pneumaturia and fecaluria usually implies enterovesical fistula. Enterovesical fistula complicating myomectomy is an uncommon finding. Our aim is to report a case of enterovesical fistula following myomectomy. Case presentation: She is a 33-yearold nullipara who presented at the National Obstetric Fistula Centre, Abakaliki, Ebonyi State, South-Eastern Nigeria with a history of fecaluria, pneumaturia and haematochezia which started after myomectomy. Feculent fluid was obtained on urethral catheterization. Cystography was suggestive of enterovesical fistula. Conclusion: Enterovesical fistula is a possible complication of myomectomy. A high index of suspicion for this rare but potentially devastating condition is important for early diagnosis and appropriate management.

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Diagnosis and management of colovesical fistulae; six‐year experience of 90 consecutive cases

Abstract: Resection and primary anastomosis should be the treatment of choice for colovesical fistulae, with an acceptable risk of anastomotic leak and mortality. Barium enema, colonic endoscopy and CT should be routine in the investigation of colovesical fistulae.

Cited by 121 publications

References 21 publications

Refractory urinary tract infection in a male with colovesical fistula

Refractory urinary tract infection in a male with colovesical fistula

A Rare Cause of Entero-Vesical Fistula Caused by a Skewer, Multidisciplinary Management and Minimally-Invasive Surgical Correction

Enterovesical Fistula Complicating Myomectomy: A Case Report

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