Novel Endoscopic Management of Colovesical Fistula Secondary to Colonic Diverticular Disease

被引：2

作者：

Mallaiyappan, Murugesh ^{[1
]}

Sankarapandian, Ganesh Prasad ^{[2
]}

Sarveswaran, Venugopal ^{[3
]}

TB, Noufal ^{[3
]}

Venkatesan, Jothiprasad ^{[3
]}

Venugopal, Vishmaya ^{[3
]}

机构：

[1] Sri Ramakrishna Hosp, Dept Gastroenterol, Coimbatore, Tamil Nadu, India

[2] Sri Ramakrishna Hosp, Dept Urol, Coimbatore, Tamil Nadu, India

[3] Sri Ramakrishna Hosp, Dept Gen Surg, Coimbatore, Tamil Nadu, India

来源：

JOURNAL OF DIGESTIVE ENDOSCOPY | 2021年 / 12卷 / 01期

关键词：

colovesical fistula; colonic diverticulosis; over-the-scope clip; combined endoscopy; DIAGNOSIS;

D O I：

10.1055/s-0040-1715283

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Colovesical fistula (CVF) is an abnormal communication between bowel and urinary bladder. Most common cause is complicated colonic diverticular disease. The treatment of choice for CVF is surgery. Conservative treatment is reserved for highly selected patients who are unfit for definitive surgery. We report the case of an 86-year-old gentleman with multiple comorbidities, who presented with pneumaturia, fecaluria, and recurrent urinary tract infection. He was diagnosed to have sigmoid colonic diverticulosis with a CVF and was successfully managed with the novel combined endoscopic approach (a simultaneous cystoscopy and flexible colonoscopy), which could be the first to be reported from India.

引用

页码：46 / 48

页数：3

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