Management of colovesical fistula: a systematic review

Zizzo, Maurizio; Tumiati, David; Bassi, Maria Chiara; Zanelli, Magda; Sanguedolce, Francesca; Porpiglia, Francesco; Fiori, Cristian; Campobasso, Davide; Ruiz, Carolina Castro; Bergamaschi, F.; Maestroni, Umberto; Carrieri, Giuseppe; Cormio, Luigi; Biolchini, Federico; Palicelli, Andrea; Soriano, Alessandra; Sassatelli, Romano; Ascani, Stefano; Annessi, Valerio; Giunta, Alessandro

doi:10.23736/s2724-6051.21.04750-9

Cited by 12 publications

(39 citation statements)

References 28 publications

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“…Zizzo et al performed a systematic literature review, 22 included articles from 1982 to 2019, with a total of 1,365 patients. Almost all patients with colovesical fistula underwent open colorectal resection (97.1%) with or without partial/total cystectomy [8]. We report our experience with a single case of robot-assisted rectovesical fistula repair which demonstrates the procedure to be feasible and safe.…”

Section: Discussionmentioning

confidence: 85%

Robot-assisted repair of rectovesical fistula

Princiotta

Brusa

D’Aietti

et al. 2022

UTJ

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A 76-year-old man developed a rectovesical fistula after rectal resection for adenocarcinoma complicated by peritonitis with the necessity of the creation of a colostomy. The patient was undergone a rectosigmoidoscopy with the placement of clip-type Ovesco to close the fistula, but this technique resulted ineffective. A robot- assisted closure of the rectovesical fistula was performed using Xi Da Vinci System. The surgical procedure will be divided into 3 parts: longitudinal median cystotomy, excision of the fistula tract, and the closure of the anterior rectal wall and bladder with interposition of omentum, between the suture lines of the rectum and bladder, to prevent fistula recurrence. The patient removed the catheter after 4 weeks of surgery and the patient remained free of urinary leakage from the anus. In February 2021, the surgery for intestinal re-anastomosis was performed. Robotic surgery is a good approach for the treatment of rectovesical fistula when the endoscopic treatment was unresolving

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Section: Discussionmentioning

confidence: 85%

Robot-assisted repair of rectovesical fistula

Princiotta

Brusa

D’Aietti

et al. 2022

UTJ

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“…Presence of gas in the bladder should prompt us to evaluate for colovesical fistula in renal allograft recipients though the patient might not have risk factors. Management of colovesical fistula can be conservative in small fistulae but majority require surgical intervention, which is the gold standard for treatment and has good outcomes 11 12…”

Section: Discussionmentioning

confidence: 99%

Unique case of colovesical fistula in a renal allograft recipient

et al. 2023

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Colovesical fistula is commonly suspected in cases of diverticular disease, malignancy, trauma, iatrogenic injury or radiotherapy. In a case of allogenic live related transplant, this is rarely expected, especially after 20 years. The presence of gas in the bladder in the absence of history of instrumentation of urinary tract should prompt us to evaluate for colovesical fistula. Pneumaturia, faecaluria and recurrent urinary tract infection are tell-tale features of colovesical fistula, and when patients who are renal allograft recipient present with them, it should prompt a proper workup and swift surgical management, since the outcome is uniformly favourable. From our knowledge in this realm, we know that these are immunocompromised patients and have a high tendency to develop risk factors like malignancy and/or diverticular disease and eventually form colovesical fistula. An expected time period could be from 2 months to 6 years. But in our case, fistula formation occurred long after peak corticosteroid action, in the absence of conventional aetiologies.

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“…Urinalysis may show abnormal results such as pyuria, bacteriuria, and leukouria, while urine culture results often detect enterococci, with Escherichia coli being the most common organism. 3 Abdominopelvic CT with oral or rectal contrast is the preferred and first-line imaging modality for diagnosing colovesical fistulas, confirming the fistula in about 64% of cases, revealing characteristic findings such as the presence of oral or rectal contrast within the bladder, air in the bladder, colonic diverticula, and thickening of the colonic and bladder walls where they connect. 5,6 CT scans not only confirm the presence of a colovesical fistula but also help determine the underlying causes, the path of the fistula tract, and any additional factors contributing to the condition, such as abscesses or malignancy.…”

mentioning

confidence: 99%

“…Additionally, if malignancy is suspected, a bladder cystoscopy is recommended to determine if there is bladder involvement. 3 Patients diagnosed with a colovesical fistula should be referred to a colorectal surgeon in collaboration with a urologist for appropriate management.…”

mentioning

confidence: 99%