Benign colovesical fistulae.
Two successfully treated cases of benign colovesical fistula are presented. The condition should be suspected whenever patients with colorectal disease develop urinary symptoms. Flexible colonoscopy and a lateral abdominal X-ray should be the initial investigations; but barium enema, cystoscopy and, rarely, CT scan may be necessary to confirm the presence of a colovesical fistula. Patients should be managed conservatively during the acute phase, and then be treated definitively by a single-stage bowel resection. Simple closure or resection and closure is used for the bladder-defect.
Department of Surgery, U.W.I., Jamaica.
D I
DI
Mitchell
P R
PR
Fletcher
D000368:Aged; D003108:Colonic Diseases / Q000175:diagnosis / Q000601:surgery*; D006785:Hospitals, University; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis / Q000601:surgery*; D007563:Jamaica; D008297:Male; D008875:Middle Aged; D001747:Urinary Bladder Fistula / Q000175:diagnosis / Q000601:surgery*