Foley catheter through a colovesical fistula: an unusual method of diagnosis

Pindoria, Khilan; Reyad, Ashraf; Youssef, Yassar

doi:10.1136/bcr-2014-204968

Cited by 3 publications

(6 citation statements)

References 4 publications

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“…barium enema) are in general less likely to demonstrate the fistula. 8 Similarly in this case, cystoscopy lead to the initial diagnosis of enterovesical fistula and jejunovesical fistula was confirmed by contrast enhanced computed tomography (CECT) Abdomen And Pelvis With Enterography. Cystography and transrectal contrast studies (e.g., barium enema) are in general less likely to demonstrate the fistula.…”

Section: Discussionsupporting

confidence: 52%

“…Cystography and transrectal contrast studies (e.g., barium enema) are in general less likely to demonstrate the fistula. 8 In nontoxic, minimally symptomatic patients with nonmalignant causes of enterovesical fistulae, a trial of medical therapy including intravenous total parenteral nutrition, bowel rest, and antibiotics may be warranted. This may be the preferred initial approach, especially in patients with Crohn's disease, in whom the notion of immediate exploratory laparotomy and bowel resection is often discouraged because of the chronic relapsing nature of the disease.…”

Section: Discussionmentioning

confidence: 99%

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Jejunovesical Fistula Diagnosis After Normal Vaginal Delivery: A Case Report

Yadav,

Bahadur Adhikari,

Maharjan

et al. 2024

J Nepal Med Assoc

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Enterovesical fistula represents an abnormal communication between the intestine and bladder. The causes are diverticulitis (56.3%), malignant tumours, which are located mainly in the intestine (20.1%), and Crohn’s disease (9.1%). Other causes include iatrogenic injury (3.2%); trauma; foreign bodies in the intestinal tract; radiotherapy; chronic appendicitis; tuberculosis; and syphilis. Normal vaginal delivery as a cause for enterovesical fistula has not been reported in many publications yet. Wereport a case of a 30-year-old female, who developed an jejunovesical fistula after normal vaginal delivery. It was diagnosed after diagnostic cystoscopy and computed tomography of the abdomen and pelvis. There was jejuno-vesical fistula. Resection of the segment of the jejunum with side-to-side anastomosis with bladder repair was done. A follow-up cystogram was done which showed no contrast extravasation into the peritoneum. The patient was followed up for 9 months after surgery.

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Section: Discussionsupporting

confidence: 52%

Section: Discussionmentioning

confidence: 99%

Jejunovesical Fistula Diagnosis After Normal Vaginal Delivery: A Case Report

Yadav,

Bahadur Adhikari,

Maharjan

et al. 2024

J Nepal Med Assoc

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“…Urinalysis usually shows leukocytes, bacteria, and debris. Urine culture usually grows mixed fecal flora, although Escherichia coli is usually the predominant organism [ 6 ]. Computed tomography (CT) scan is the most sensitive test to diagnose colovesical fistula.…”

Section: Discussionmentioning

confidence: 99%

“…Computed tomography (CT) scan is the most sensitive test to diagnose colovesical fistula. CT scanning of the abdomen and pelvis demonstrate small amounts of air or contrast material in the bladder, localized thickening of the bladder wall, or an extraluminal gas-containing mass adjacent to the bladder [ 5 , 6 ]. Cystoscopy is an essential diagnostic procedure.…”

Section: Discussionmentioning

confidence: 99%

“…It can be used to rule out malignancy; however, it fails to visualize the opening. Colonoscopy is helpful in determining the nature of the bowel disease, but it is not accurate in detecting the fistula [ 6 ]. Our patient is proven to have colovesical fistula based on clinical presentation, colonoscopy, CT abdomen and pelvis, and pathology evaluation of the tumor mass.…”

Section: Discussionmentioning

confidence: 99%

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Colovesical Fistula As An Uncommon Presentation Of Metastatic Lung Cancer

Nguyen

Jaffe

Gray³

et al. 2018

Cureus

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Colovesical fistula is an atypical communication between the colon and the bladder. The most common causes of colovesical fistula are diverticulitis, inflammatory bowel disease, lymphoma and complication from radiation therapy. Patients with colovesical fistula present with recurrent urinary tract infections (UTI), dysuria, frequency, abdominal pain, pneumaturia, faecaluria, and hematuria. We present a case of a patient with stage IV lung adenocarcinoma presented with abdominal pain, dysuria, and faecaluria who was found to have a colovesical fistula. Although colovesical fistula may be sequelae of advanced colon or bladder cancer, it is a very uncommon presentation of metastatic cancer from distant sites. Our case is the first to show that colovesical fistula may present from metastatic lung adenocarcinoma. Clinical awareness of this very unusual presentation of metastatic cancer can lead to faster diagnosis and treatment, possibly minimizing excessive use of antibiotics.

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