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International Journal of Colorectal Disease

, Volume 33, Issue 6, pp 827–829 | Cite as

Non-visible colovesical fistula located by cystoscopy and successfully managed with the novel Padlock® device for endoscopic closure

  • Benito VelayosEmail author
  • L. Del Olmo
  • L. Merino
  • M. Valsero
  • J. M. González
Short Communication
  • 118 Downloads

Abstract

Introduction

The development of novel mechanical endoscopic closure systems allows now the management of some gastrointestinal fistula types in a minimally invasive way. However, the correct location of the fistulous tract is essential to achieve successful endoscopic closure.

Case report

A 69-year-old woman with high risk for surgery presented with recurrent cystitis, pneumaturia, and enteruria 2 months after medical-treated diverticulitis. Computerized tomography demonstrated colovesical fistula but colonoscopy could not locate the fistulous opening. A cystoscopy was performed and the fistulous tract was shown using a guidewire. Then, a novel over-the-scope clip device Padlock® system was released in the sigmoid colon, with successful endoscopic closure through this not previously described collaborative approach between urologists, surgeons, and gastroenterologists.

Keywords

Uroenteric fistula Diverticulitis Over-the-scope clip Therapeutic endoscopy Fistula closure 

Notes

Authors’ contributions

Velayos B, Del Olmo L, and González JM designed the report and wrote the paper. Merino L collected the patient’s clinical data. Valsero M performed cystoscopy.

Compliance with ethical standards

Institutional review board statement

The study meets under the present frame of the University Hospital of Valladolid Research Institutional Review Board.

Informed consent

All study participants provided informed written consent prior to study enrollment.

Conflict of interest

The authors declare that they have no conflicts of interest.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of GastroenterologyHospital Clínico de ValladolidValladolidSpain
  2. 2.Department of SurgeryHospital Clínico de ValladolidValladolidSpain
  3. 3.Department of UrologyHospital Clínico de ValladolidValladolidSpain

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