Fístulas vesicosigmoideas secundarias a diverticulitis. Diagnóstico mediante tomografía computarizada helicoidal

Cerqueda, Carmen Sebastià; Pena, Elisa Merino; Gómez, S. Quiroga; Álvarez-Castells, Agustí

doi:10.1016/s0033-8338(07)73790-6

Cited by 7 publications

(3 citation statements)

References 12 publications

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“…Some believe that cystoscopy is the most effective diagnostic exam: it not only finds the fistula (30%) but also allows the identification of indirect signs (50%) such as bullous edema, localized inflammation, erythema, and granulation tissue; it also allows biopsy [6]. The first-level exams according to Daniels et al are cystoscopy and urine cytology for faecal material.…”

Section: Discussionmentioning

confidence: 99%

“…Due to the technological improvements to the CT scan, others have lately shown that it is a highly sensitive technique (40–100%) and that, thanks to the 3D reconstructions, it identifies the fistulous tract (6–44%), gives precise anatomical and etiological information, and allows for the planning of possible surgeries with clear visuals of the surrounding structures. It also visualizes indirect signs such as gas, feces or oral contrast in the bladder, paravesical abcesses, and so forth [6]. Three-dimensional CT scans provide superior spatial detail [4].…”

Section: Discussionmentioning

confidence: 99%

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A Rectourethral Fistula due to Transrectal High-Intensity Focused Ultrasound Treatment: Diagnosis and Management

Fiaschetti

Manenti

Poce

et al. 2012

Case Reports in Radiology

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Colovesical fistula (CVF) is an abnormal connection between the enteric and the urinary systems. The rectourethral fistula (RUF) is a possible but extremely rare complication of treatment of prostate cancer with “transrectal High-Intensity Focused Ultrasound (HIFU) treatment.” We present a case of CVF due to HIFU treatment of recurrent prostate cancer. The case was assessed with cystography completed with a pelvic CT scan—with MPR, MIP, and VR reconstruction—before emptying the bladder. Since the CT scan confirmed that the fistula involved solely the urethra and excluded even a minimal involvement of the bladder, it was possible to employ a conservative treatment by positioning a Foley catheter of monthly duration, in order to allow the urethra to rest. Still today, after 6 months, the patient is in a good clinical condition and has not shown yet signs of a recurrence of the fistula.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Rectourethral Fistula due to Transrectal High-Intensity Focused Ultrasound Treatment: Diagnosis and Management

Fiaschetti

Manenti

Poce

et al. 2012

Case Reports in Radiology

View full text Add to dashboard Cite

show abstract

“…However, most of the studies published after 2005 have focused on the role of CT in the early diagnosis of acute colonic diverticulitis and its complications (2–4). Pneumaturia is sometimes the first symptom of CVF and should always raise the suspicion of this rare complication.…”

Section: Discussionmentioning

confidence: 99%