Vesicovaginal fistula. The vesical fistula high in the vagina.
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Appendico-ileo-vesical fistula.
Appendico-vesical fistula is a rare condition. In total, 109 cases, most secondary to appendicitis, have been reported in the English-language literature. We report the first case, to our knowledge, of appendico-ileo-vesical fistula secondary to appendiceal diverticulitis. An enterovesical fistula was diagnosed by urine culture, cystoscopy, and computed tomography. The locations of enteric opening sites were demonstrated by barium enema and colonoscopy. Ileocecal resection and fistulectomy with primary reconstruction were performed. We believe that accurate pre- and intra-operative diagnosis is essential for cure. This case demonstrates the importance of barium enema and colonoscopic examinations in the diagnosis and treatment of complicated enterovesical fistula.
Adult↗
[Role of complementary tests in the management of colo-vesical fistulae].
OBJECTIVE: Colo-vesical fistulas (CVF) are a complication of inflammatory or neoplastic diseases of the lesser pelvis. Although the clinical diagnosis is obvious in the presence of pneumaturia or faecaluria, a number of patients require complementary diagnostic and/or pretreatment investigations. The objective of this study was to analyse the management of these patients in order to define the place and cost-effectiveness of complementary investigations. MATERIAL AND METHODS: This retrospective study was based on 37 patients with a colo-vesical fistula, secondary to sigmoid diverticulitis in 60% of cases. RESULTS: Cystoscopy was the most cost-effective examination for the diagnosis of CVF with a sensitivity of 94%. The preoperative assessment of CVF and the underlying disease was optimally performed by a combination of cystoscopy, opaque enema and CT. CONCLUSIONS: Our study defined the place of the various examinations in the assessment of colo-vesical fistula, but the value of magnetic resonance imaging, not performed in this series, remains to be defined.
Adult↗
[Appendico vesical fistula (author's transl)].
Appendico vesical fistula is an uncommon clinical entity which concerns not only the general and urological surgeons but also the general practitioner. It develops as a complication of untreated appendicitis and may go unrecognized for many years. The chief clinical feature is recurrent episodes of acute cystitis. It may occur at any age but usually in the younger group. The frequent absence of pneumaturia and fecaluria helps to distinguish it from other variants of entero-vesical fistula. Appendectomy and excision of the fistula are usually followed by complete recovery.
Adult↗
[Spontaneous sigmoido-vesical fistula].
The colo-vesical fistula, most frequently of diverticular origin, usually occurs at a later age, when the diverticular disease is complicated by local and peri-sigmoidal processes. A characteristic of this disturbance is the fact that, although the causal affection is colical, the manifestation, at least initially, is mostly at the level of the urinary bladder, under the form of repeated bouts of cystitis of an apparently undetermined origin. Such manifestations should prompt, besides exploration of the urinary apparatus, also an exploration of the colon. The exclusively surgical treatment should be applied as early as possible after the identification of the fistular lesion, in view of preventing more severe local complications and ascendent urinary infections.
Aged↗
[Recto-vesical fistula (author's transl)].
23 cases of recto-vesical fistula are described; their diagnostic and therapeutic approach are discussed. The entero-vesical fistula result mainly from diverticular disease but may be secondary to tumor or Crohn's disease of the large bowel too. The treatment needs allways surgery: bowel resection and bladder extraperitonisation. Results and literature are compared.
Adult↗
[Treatment of colo-vesical fistulas in one-stage operation].
OBJECTIVES: To evaluate the results of one-stage surgical treatment of colo-vesical fistulas. MATERIAL AND METHODS: 24 patients (16 males and 8 females) were treated for colo-vesical fistula by this technique. Sigmoid diverticulosis represented the commonest aetiology. In our study, cystoscopy was the most useful modality for the diagnosis of fistula. RESULTS: No deaths and no recurrent fistulas were observed. However, one case of peritonitis secondary to dehiscence of the colo-colonic anastomosis in a patient suffering from Crohn's disease and two wall abscesses in diabetic patients were observed. CONCLUSION: The morbidity and mortality rates after one-stage treatment of colo-vesical fistulas were low. This method not only improves the patient's quality of life, but is also less expensive, by avoiding a second hospitalisation and can be proposed as first-line treatment.
Adult↗
Vesical fistulae--an experience from a developing country.
This study analyses patients with vesical fistulae presenting at a teaching, referral hospital over the last ten years. There were 62 cases of vesical fistulae of which 60 were obstetric in origin (44 home and 16 hospital deliveries) and 2 were following gynaecological surgery. Of the hospital deliveries which culminated in fistula formation, 8 were vaginal and 7 forceps deliveries. In one patient, lower segment caesarean section was carried out. After a thorough urological work-up, patients were subjected to standard technique of layered closure (61 by vaginal approach and one by abdominal). Repair was successful in 53 (87.09%) patients. Of the 9 failures, 4 were repeat repairs.
Adolescent↗
[An appendiceal-vesical fistula in a patient with cystic fibrosis].
Cystic fibrosis is an hereditary disease in which abnormally viscous secretion of exocrine glands causes chronic pulmonary infections and gastrointestinal disorders. The authors report the case of a patient with cystic fibrosis and appendicitis complicated by appendico-vesical fistula. The appendico-vesical fistula has been described during appendicitis; its association with the cystic fibrosis however has never been reported in the literature.
Adult↗
A case report of Crohn's disease with sigmoido-vesical fistula.
Urological complications in Crohn's disease are relatively common conditions. However, a few cases with sigmoido-vesical fistula as a complication of the disease have been reported. We experienced a case of a 16-year-old boy with pneumaturia due to sigmoido-vesical fistula as a complication of Crohn's disease.
Adolescent↗
Lymphadenopathy and entero-vesical fistula in Fabry's disease.
A case of a 55-year-old man with known Fabry's disease, complicated by entero-vesical fistula and associated with enlarged mesenteric lymph nodes, is reported. Histopathologic and ultrastructural findings of the involved lymph nodes are described, and pathogenesis of the entero-vesical fistula is briefly discussed. This is the first case, to the authors' knowledge, of urologic complication in Fabry's disease.
Fabry Disease↗
Appendico-vesical fistula. Case report.
Two cases of appendico-vesical fistula are reported. In one patient a spontaneous healing with fibrosis of the appendix had probably occurred. The incidence and clinical features of this fistula are presented. The diagnosis is difficult. The average length of time between the initial symptoms and the diagnosis is measured in years. In many patients the correct diagnosis is probably never made and in some patients the fistula eventually heals spontaneously. The condition is probably not as rare as is stated in the literature.
Adolescent↗
[Entero-vesical fistula caused by a foreign body].
An entero-vesical fistula due to intestinal foreign body is rare. A case is presented and the clinical diagnostic and therapeutic aspects of this lesion are discussed.
Anastomosis, Surgical↗
[Sigmoido-vesical fistula: a rare cause of hematuria].
A rare case of sigmoido-vesical fistula manifested clinically by dysuria and haematuria is presented. The diagnostic difficulties caused by incorrect sequence of image diagnostics is emphasized.
Aged↗
Salpingo-vesical fistula. Rare and unusual complication of vaginal hysterectomy.
A case of salpingo-vesical fistula is presented which occurred in a forty-six-year-old female two years after a vaginal hysterectomy. The patient's presenting complaints included pelvic and right lumbosacral discomfort, aggravated by urination. Cystoscopy revealed the fistula, and the patient was successfully treated with a salpingo-oophorectomy.
Fallopian Tube Diseases↗
[Entero-vesical fistula in Crohn's disease. A case report].
A case of entero-vesical fistula in Crohn's disease is presented. Clinical manifestations, diagnostic means and surgical treatment of the lesion are discussed.
Adult↗
[Sigmoid-vesical fistula as a consequence of sigmoid tumor].
Because of unusual rarity of neoplastic sigmoid-vesical fistula in young patients the case of 43 years old woman, in whom the fistula was the consequence of sigmoid adenocarcinoma infiltration of urinary bladder, was presented. The patient was treated radically by resection of the sigmoid and partial resection of the urinary bladder within healthy tissue. After operation the patient was exposed to radiotherapy, after which chemotherapy followed (6 courses of 5-day chemotherapy with fluorouracil and calcium folinate). 18 months after operation, 16 months after radiotherapy and 14 after chemotherapy patient's general condition was good and control laboratory tests did not indicate the relapse of the neoplasm.
Adenocarcinoma↗
[Colo-vesical fistulas in acute pathology of the colon].
A survey of the relevant literature and a statement of the acute diseases of the colon giving rise to urological complications are followed by a short account of the subjective and objective symptoms of colo-vesical fistulae. An assessment is also made of the advantages of careful diagnostic, clinical and instrumental appraisal. The classic management of such fistulae is described, and the main features of the surgical technique required are illustrated. Successful employment of total parenteral therapy in 13 cases of enteric fistula (including 2 colo-vesical cases) at the University of Genoa "R" Surgical Clinic is reported. The indications, contraindications and complications associated with this method are explained. The modalities whereby a gradual transition is made to feeding per os are described and the results obtained are evaluated.
Acute Disease↗