On the pathology and behaviour of acquired non-traumatic vesico-intestinal fistula

Ji, Pugh

doi:10.1002/bjs.1800510903

Cited by 65 publications

(26 citation statements)

References 36 publications

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“…How much fistula for mation is related to different patterns of inflammation remains speculative in our opinion [23]. However, the site of the inflammatory process influences the type of fistula formation due to anatomical relation [17], This is further underlined by the presence of simultaneous e-v fistula formation in cases with involvement of the termi nal ileum and sigmoid colon in the inflammatory process of Crohn's disease. Bowel obstruction may also contrib ute to the development of fistula formation [11].…”

Section: Discussionmentioning

confidence: 88%

Enterovesical Fistula in Crohn’s Disease

Limmer¹,

Büchler²,

Beger³

1988

Dig Surg

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In a retrospective study, 16 enterovesical fistulas were detected in a series of 93 patients who underwent surgery for Crohn’s disease in the period from 1982 to 1986. The enterovesical fistula was diagnosed preoperatively in 9 patients and remained undetected in 7 cases, despite complete clinical and diagnostic work-up. The surgical procedures included fistula excision and small or large bowel excision with primary reconstitution of the gastrointestinal tract. The surgical management cured all fistulas. There were no complications and no deaths. Fistula recurrence was never observed.

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Section: Discussionmentioning

confidence: 88%

Enterovesical Fistula in Crohn’s Disease

Limmer¹,

Büchler²,

Beger³

1988

Dig Surg

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“…Depending on the area of the bowel involved, EVF is classified as colovesical, rectovesical, ileovesical or appendicovesical fistulae. The prevalence is ~1 in every 3,000 surgical hospital admissions (4). The symptoms of EVF include pneumaturia, fecaluria, frequency, urgency, suprapubic pain, recurrent urinary tract infections and hematuria (1).…”

Section: Discussionmentioning

confidence: 99%

Enterovesical fistula caused by regressive change of non-Hodgkin's lymphoma: A case report

Lee

Chen

et al. 2016

Oncology Letters

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Abstract. Enterovesical fistula (EVF) is a rare complication of diverticulitis, as well as Crohn's disease, intestinal malignancy, radiotherapy and trauma. EVF formation is associated with inflammation of the involved bowel segments. The current study presents the case of a 35-year-old man with non-Hodgkin's lymphoma who developed pneumaturia, fecaluria and recurrent urinary tract infections following chemotherapy, accompanied by regressive change of the lymphoma. Abdominal computed tomography scans revealed that the terminal ileum had adhered to the bladder wall. The patient underwent exploratory laparotomy and partial resection of the terminal ileum, and EVF was confirmed. Histological examination revealed an inflammatory response but no evidence of residual lymphoma. The diagnosis of EVF is occasionally difficult and requires appropriate radiographic examination. Surgical treatment is recommended.

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“…The incidence of vesicoenteric fistulas has been reported to occur in 0.01% to 0.05% of surgical admissions1). In one study of 56 instances of vesicoenteric fistulas, ileovesical fistula was found in only 3 patients (5.3%)2).…”

Section: Introductionmentioning

confidence: 99%

Ileovesical Fistula Caused by Hepatocellular Carcinoma

Byun

Cho

Yang

et al. 2005

Korean J Intern Med

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Ileovesical fistula is a very rare clinical entity, the most frequent cause of which is Crohn's disease. Furthermore, it is an exceptionally rare complication of malignancies. We experienced one case of ileovesical fistula which had been caused by hepatocellular carcinoma (HCC) arising from the noncirrhotic liver.A 27-year-old man was diagnosed with HCC in a noncirrhotic liver. Despite treatment with transarterial chemoembolization (TACE), the disease status became more aggravated. The patient complained of dysuria, fecaluria, and intermittent lower abdominal pain. Pelvic CT scan showed a soft tissue mass of 6 cm abutting on the distal ileum which was downwardly displaced. Barium study of the small bowel showed a fistula between the small bowel loop and the urinary bladder. Upon operation, adhesion and fistula were found between the ileum and the urinary bladder. The microscopic findings of the surgical specimen were compatible with metastatic HCC. We confirmed that ileovesical fistula had been caused by metastatic HCC.

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On the pathology and behaviour of acquired non-traumatic vesico-intestinal fistula

Cited by 65 publications

References 36 publications

Enterovesical Fistula in Crohn’s Disease

Enterovesical Fistula in Crohn’s Disease

Enterovesical fistula caused by regressive change of non-Hodgkin's lymphoma: A case report

Ileovesical Fistula Caused by Hepatocellular Carcinoma

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