Entero-vesical fistula revealed by recurrent urinary tract infection

Jabbour, Youness; Lamzaf, Youssef; Karmouni, Tarik; Khader, Khalid El; Koutani, Abdellatif; Andaloussi, Ahmed Iben Attya

doi:10.15406/unoaj.2018.06.00219

Cited by 2 publications

(1 citation statement)

References 7 publications

(24 reference statements)

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“…Patients with benign and non-radiation-induced CVF are less likely to experience their fistula recurring after surgery. Its occurrence should raise the suspicion of underlying cancer, especially if the surgery was well-performed [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Colo-Vesical Fistula: Relevance of Conventional Radiology in the Modern Era

Ladke¹,

Mitra²,

Dhok³

et al. 2023

Cureus

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Colo-vesical fistula (CVF) is usually encountered in severe inflammatory and malignant conditions. Radiological imaging is crucial to the diagnosis of a colo-vesical fistula and helps gastroenterologists and surgeons select the best treatment option. This disorder is typically identified during follow-up of treatments for diverticulitis or chronic inflammatory bowel disease. The patients present with symptoms of pneumaturia and fecaluria. The most accurate imaging modality for diagnosing CVF is CT with rectal contrast. In this case report, we present a case of a 58-year-old male patient with complaints of fecaluria and pneumaturia for three months. Ultrasonography and barium enema revealed a clear fistulous tract between the sigmoid colon and the urinary bladder. Subsequently, the patient underwent exploratory laparotomy and the specimen was sent for histopathological evaluation to rule out malignancy. The diagnosis on imaging was consistent with post-operative findings of a CVF. This case report will add to the knowledge of radiologists about the imaging features of CVFs and their identification on imaging.

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Section: Discussionmentioning

confidence: 99%