Abstract
The authors report their experience in the diagnosis and treatment of 10 cases of vesicosigmoidal fistula. In accordance with the literature the most frequent presenting symptoms were of urinary origin.
For the diagnosis urography was helpful, cystography and cystoscopy allowed the observation of a fistulous orifice, while barium enema confirmed, or removed probable doubts about the nature of the intestinal pathology.
Surgical treatment varied from one-stage to multi-stage procedures.
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References
Abeshouse, B. S., Robbins, M. A., Gann, M., Salik, J. O.: Intestinovesical fistulas.JAMA, 164, 251 (1957).
Aldrete, J. S., Remine, W. H.: Vesicocolic fistula—a complication of colonic cancer. Long-term results of its surgical treatment.Arch. Surg., 94, 627 (1967).
Badlani, G., Abrams, H. J., Levin, L., Sutton, A. P., Buchbinder, M.: Enterovesical fistulas in Crohn disease.Urology, 6, 599 (1980).
Best, J. W., Davis, R. M.: Vesicointestinal fistulas.J. Urol., 101, 62 (1969).
Borresen, T., Eldrup, J., Henriksen, O. B., Hald, T.: Appendico-vesical fistula and persistent urachus in a patient with hematuria.Scand. J. Urol. Nephrol., 15, 75 (1981).
Cancelmo, J. J., Eshleman, J. L., Uhlman, R. C., Viek, N. F.: Sigmoido-vesical fistula secondary to diverticulitis.Am. J. Roentgenol., 115, 378 (1972).
Carbone, P., Pagliano, G., Rizzello, N.: Fistole entero-vescicali.Urologia, II, 292 (1984).
Carson, C. C., Malek, R. S., Remine, W. H.: Urologic aspects of vesicoenteric fistulas.J. Urol., 119, 744 (1978).
Cebrelli, C., Sirchi, M., Mottola, P.: Le fistole entero-vescicali.Chir. Italiana, 31, 502 (1979).
Colombeau, P., Vergeres, O., Dumas, J. P., Dabir, P., Viollet, G.: Les fistules colovésicales.Ann. Urol., 17, 58 (1983).
Deshmukh, A. S., Bansal, N. K., Kropp, K. A.: Use of methylene blue in suspected colovesical fistula.J. Urol., 118, 819 (1977).
Di Bella, F., Pescio, G. L., Lusardi, L., Cuneo, M.: Su un caso di fistola colo-vescicale da diverticolite del sigma.Minerva Chir., 37, 2039 (1982).
Ducassou, J., Richaud, C., Duvinage, J. F., Hermanowicz, M.: L'aspect urologique des fistules vésico-intestinales.J. Urol. Nephrol., 3, 153 (1977).
Geier, G. R., Ujiki, G. T., Shields, T. W.: Colovesical fistula.Arch. Surg., 105, 347 (1972).
Giuliani, L., Pescatore, D., Giberti, C., Parisini, B., Martorana, G.: Le fistole intestinovescicali di origine neoplastica.Minerva Chir., 10, 612 (1977).
Henderson, M. A., Small, W. P.: Vesico-colic fistula complicating diverticular disease.Br. J. Urol., 41, 314 (1969).
Karlaftis, C.: Fistule vésico-intestinale congénitale.J. Urol. Nephrol., Suppl.2 (83), 634 (1977).
Kyle, J., Murray, C. M.: Ileovesical fistula in Crohn's disease.Surgery, 66, 497 (1969).
Krco, M. J., Jacobs, S. C., Malangoni, M. A., Lawson, R. K.: Colovesical fistulas.Urology, 23, 340 (1984).
Krompier, A., Howard, R., MacEwen, A., Natoli, C., Wear, J. B.: Vesicocolonic fistulas in diverticulitis.J. Urol., 115, 664 (1976).
Malin, J. M., Hoodin, A. O., Evans, A. T.: Clinical application of gold leaf in the treatment of urinary fistulas: preliminary report.J. Urol., 99, 750 (1968).
Marti, M. C., Simmen, U.: Les fistules entero-vésicales.J. Chir (Paris),117, 469 (1980).
Moisey, C. U., Williams, J. L.: Vesico-intestinal fistulae.Br. J. Urol., 44, 662 (1972).
Morrison, P. D., Addison, N. V.: A study of colovesical fistulae in a district hospital.Ann. R. Coll. Surg. Engl., 65, 221 (1983).
Morse, E. P., Dretler, S. P.: Diagnosis and treatment of colovesical fistula.J. Urol., 111, 22 (1974).
Parc, R., Blondiau, P., Cugnenn, C. C., Letoublon, C., Loygue, J.: Fistules colo-vésicales d'origine diverticulaire.Sem. Hop. Paris, 59, 310 (1983).
Smith, P. J. B., Williams, R. E., De Dombal, A. T.: Genito-urinary fistulae complicating Crohn's disease.Br. J. Urol., 44, 657 (1972).
Perez, G., Coulange, C., Lacoste, M., Bricot, R., Rampal, M.: Une série de 17 fistules sigmoido-vésicales.J. Urol. Nephrol., 89, 365 (1983).
Pugh, J. I.: On the pathology and behaviour of acquired non-traumatic vesico-intestinal fistula.Br. J. Surg., 51, 644 (1964).
Raaijmakers, Von, P. A. M., Boetes, C., Strijk, S. P., De Boer, H. H. M., Debruyne, F. M. J., Rosengusch, G.: Direkte urologische Komplikationen bei der Crohnschen Erkrankung: Enterovesikale Fisteln und Ureterobstruktion.Fortschr. Röntgenstr., 138, 162 (1983).
Rovinescu, I.: La fistule vésico-appendiculaire.J. Urol. Nephrol., 87, 527 (1981).
Shatila, A. H., Ackerman, N. B.: Diagnosis and management of colovesical fistulas.Surg. Gynecol. Obstet., 143, 71 (1976).
Steg, A.: Les fistules entero-vésicales.J. Urol. Nephrol., 77, 390 (1971).
Vicini, D., Mensi, M., Ravasi, S.: Le fistole sigmoido-vescicali.Urologia, III, 363 (1982).
Ward, J. N., Lavengood, R. W., Nay, H. R., Draper, J. W.: Diagnosis and treatment of colovesical fistulas.Surg. Gynecol. Obstet., 130, 1082 (1970).
Wesolowski, S., Bulinski, W.: Vesico-intestinal fistulae and recto-urethral fistulae.Br. J. Urol., 45, 34 (1973).
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Malossini, G., Cavalleri, S., Comunale, L. et al. The vesicosigmoidal fistula: Diagnosis and surgical treatment. International Urology and Nephrology 19, 271–277 (1987). https://doi.org/10.1007/BF02549863
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DOI: https://doi.org/10.1007/BF02549863