Abstract
In most cases Colovesical fistulae are complications of diverticular disease and representing the most common kind of colodigestive fistula; less common are colovaginal, colocutaneous, coloenteric and colouterine fistula. In this article we review the literature concerning colovesical fistulae in colorectal surgery for sigmoid diverticulitis and report on two cases that required a surgical treatment, one elective and the other in emergency. In both cases we performed a sigmoid resection with a primary anastomosis and small vesical window-ectomy placing a Foley catheter for about 10 days.
MeSH terms
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Aged
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Anastomosis, Surgical
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Appendicitis / diagnosis
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Cystitis / complications
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Diagnosis, Differential
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Diverticulitis, Colonic / complications*
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Diverticulitis, Colonic / diagnosis
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Diverticulitis, Colonic / surgery
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Douglas' Pouch / microbiology
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Douglas' Pouch / surgery
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Elective Surgical Procedures
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Emergencies
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Escherichia coli Infections / complications
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Female
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Humans
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Intestinal Fistula / etiology*
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Intestinal Fistula / surgery
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Klebsiella Infections / complications
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Male
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Peritonitis / complications
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Peritonitis / microbiology
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Peritonitis / surgery
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Sigmoid Diseases / etiology*
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Sigmoid Diseases / surgery
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Suture Techniques
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Urinary Bladder Fistula / etiology*
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Urinary Bladder Fistula / surgery
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Urinary Catheterization