In most cases Colovesical fistulae are complications of diverticular disease and representing the most common kind of colodigestive fistula; less common are colovaginal, colocutaneous, coloenteric and colouterine fistula. In this article we review the literature concerning colovesical fistulae in colorectal surgery for sigmoid diverticulitis and report on two cases that required a surgical treatment, one elective and the other in emergency. In both cases we performed a sigmoid resection with a primary anastomosis and small vesical window-ectomy placing a Foley catheter for about 10 days.
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Tech Coloproctol
December 2024
Surgical Clinic 2, Hospital Maciel, 174, 25 de Mayo St, Montevideo, Uruguay.
Cureus
November 2024
Internal Medicine, St. Joseph's Medical Center, Stockton, USA.
Colovesical fistula is the result of a pathologic connection between the bladder and colon. It can be a deadly sequela of a variety of conditions. Diagnosis is usually confirmed by a computed tomography (CT) scan of the abdomen.
View Article and Find Full Text PDFCureus
October 2024
Urology, Faculty of Medicine of São José do Rio Preto, São José do Rio Preto, BRA.
Colovesical fistula (CVF) is a rare but potentially serious condition characterized by abnormal communication between the colon and the bladder. This pathology can result from inflammatory diseases, malignancies, or previous surgical interventions, with a significant impact on the patient's quality of life. CVF is associated with high morbidity and mortality rates, particularly in immunosuppressed individuals, such as renal transplant recipients, due to their increased susceptibility to infections and surgical complications.
View Article and Find Full Text PDFClin Case Rep
October 2024
Department of Urology Northeast Health Wangaratta Wangaratta Victoria Australia.
Key Clinical Message: The poppy seed test is a valuable, cost-effective, and sensitive initial diagnostic investigation to identify the presence of colovesical fistula, particularly for clinicians in remote or rural areas with lack of access to specialist radiologic, endoscopic, surgical, or urological support. The poppy seed test therefore may act as a bridge toward the commencement of appropriate referral pathways for the management of colovesical fistula.
Abstract: The diagnosis of colovesical fistula is resource intensive, often requiring a combination of radiological investigation and endoscopy.
Cureus
September 2024
General Surgery, Indiana University School of Medicine, Indianapolis, USA.
We present an unusual case of colovesical fistula formed by a single diverticulum manifesting as prostatitis and urinary tract infection (UTI) before causing further complications. Diverticulitis is caused by inflammation of the colonic diverticula and manifests as fever and left lower quadrant pain. The patient also developed recurrent pneumaturia; upon examination, a colovesical fistula was observed on computed tomography (CT), which was managed successfully by laparoscopic repair.
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