The colovescical fistula in diverticular disease: Laparoscopic approach in two different cases

Buono, Giuseppe Di; Bonventre, Giulia; Buscemi, Salvatore; Randisi, Brenda; Agrusa, Antonino

doi:10.1016/j.ijscr.2020.09.044

Cited by 3 publications

(11 citation statements)

References 23 publications

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“…Fistulas most frequently also arise from this segment. The most common types of fistulas are colovesical (65%) and colovaginal fistulas (25%), followed by coloenteric (7%), colouterine (3%), oculocutaneous fistulas, and complex fistulas with involvement of multiple pelvic organs (10%) [2].…”

Section: Discussionmentioning

confidence: 99%

“…While the precise incidence of colovesical fistula from diverticulitis remains unknown, there is a 2-3:1 male predominance [2]. This is attributed to the uterus protecting the bladder from inflamed sigmoid in females [2].…”

Section: Incidencementioning

confidence: 99%

“…The most common causes of colovesical fistula include diverticular disease (70%), inflammatory bowel disease including Crohn's disease, malignancies, trauma, and iatrogenic causes [2,4,5].…”

Section: Etiologymentioning

confidence: 99%

“…Overall, 70-90% will have pneumaturia, whereas about 50-70% usually have fecaluria. Another 87.5% will present either with pneumaturia or fecaluria [2,4,5]. Other less frequent symptoms include chronic abdominal pain, diarrhea, hematuria, and loss of urine via the rectum [2,4,5].…”

Section: Clinical Features and Diagnostic Approachesmentioning

confidence: 99%

“…However, patients younger than 40 years have a lower prevalence of less than 10%. About 15% of the patients with diverticulosis will develop diverticulitis at some point in their life [2]. The incidence of colovesical fistula in the presence of diverticular disease is 2% to 4%; however, the incidence can vary from 2% to 23% [2].…”

Section: Introductionmentioning

confidence: 99%

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Colovesical Fistula Complicating the First Symptomatic Episode of Acute Diverticulitis in a Young Adult

Dufera¹,

Tolu-Akinnawo²,

Maliakkal³

2023

Cureus

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Colovesical fistula is one of the known complications of acute diverticulitis. However, it is uncommon for a patient to present with a colovesical fistula without prior episodes of diverticulitis. In this case, we report a patient with acute diverticulitis presenting with a colovesical fistula with no antecedent history of any medical condition. The patient was treated with intravenous antibiotics and subsequently had a temporary laparoscopic colostomy.Although colovesical fistula caused by diverticular disease was once considered a relative contraindication to laparoscopic resection, this method is now being increasingly employed by experienced surgeons. Compared with laparoscopic colon resection surgery for uncomplicated diverticulitis, the minimally invasive treatment of colovesical fistula requires a longer operative time and advanced surgical skills.

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Section: Discussionmentioning

confidence: 99%

Section: Incidencementioning

confidence: 99%

Section: Etiologymentioning

confidence: 99%

Section: Clinical Features and Diagnostic Approachesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Colovesical Fistula Complicating the First Symptomatic Episode of Acute Diverticulitis in a Young Adult

Dufera¹,

Tolu-Akinnawo²,

Maliakkal³

2023

Cureus

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Fístulas colovesicales de origen diverticular: análisis clínico-quirúrgico y de seguimiento

Rosario-Santos,

Iberri-Jaime,

De León-Rendón

et al. 2023

CIRCOL

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Objetivo: Describir el manejo quirúrgico y los resultados de los pacientes con fístulas colovesicales de origen diverticular intervenidos en el Hospital General de México Dr. Eduardo Liceaga. Método: Estudio retrospectivo, unicéntrico, que incluyó a los pacientes con diagnóstico de fístula colovesical secundaria a enfermedad diverticular complicada, tratados quirúrgicamente en el periodo de enero de 2017 a diciembre de 2021. En total, se analizaron 44 pacientes, cuya información se obtuvo de los expedientes clínicos electrónicos y registros quirúrgicos. Resultados: La muestra consistió en 34 hombres (77.3%) y 10 mujeres (22.7%), con un promedio de edad de 53 años. La enfermedad diverticular complicada fue la etiología más común. El abordaje quirúrgico más frecuentemente empleado fue el laparoscópico, y la técnica quirúrgica más realizada en el colon fue la sigmoidectomía con anastomosis colorrectal. Conclusiones: El manejo laparoscópico de las fístulas colovesicales, cuando se dispone de los recursos y el entrenamiento necesarios, es factible y seguro. Recomendamos la resección y anastomosis, técnica que presenta una baja tasa de conversión y tiempo quirúrgico.

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Right-Sided Epididymo-Orchitis as a Presentation of Diverticular Colovesical Fistula

Sidhu¹,

Seyfi²,

Byrne³

2023

Cureus

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A colovesical fistula is a recognized complication of diverticulitis. Although the underlying pathology is usually of colonic origin, the majority of patients present with urological symptoms, classically pneumaturia, and urinary tract infection. Epididymo-orchitis is a rare presentation. It is important to identify elderly males who present with recurrent urosepsis and/or epididymo-orchitis refractory to medical treatment as they may have an underlying benign or malignant etiology. The diagnostic challenge in these cases is to confirm the presence of a fistula, exclude malignancy, and determine the underlying pathology.We present a case of diverticular colovesical fistula in an elderly male who presented with symptoms of epididymo-orchitis on a background of recurrent urinary tract infections. The presence of intravesical gas within the left posterolateral bladder wall and soft tissue thickening continuous with the mid-sigmoid colon was consistent with a colovesical fistula. This patient underwent elective laparoscopic anterior resection and repair of colovesical fistula.

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The colovescical fistula in diverticular disease: Laparoscopic approach in two different cases

Cited by 3 publications

References 23 publications

Colovesical Fistula Complicating the First Symptomatic Episode of Acute Diverticulitis in a Young Adult

Colovesical Fistula Complicating the First Symptomatic Episode of Acute Diverticulitis in a Young Adult

Fístulas colovesicales de origen diverticular: análisis clínico-quirúrgico y de seguimiento

Right-Sided Epididymo-Orchitis as a Presentation of Diverticular Colovesical Fistula

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