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[Vesico-sigmoidal fistulas. Evaluation of the diagnostic performance of the complementary tests in our series].
Arch Esp Urol. 1991 Dec; 44(10):1133-8.AE

Abstract

We analyzed 14 cases of colovesical fistula that had been diagnosed and treated at the urology and gastroenterology and general surgery services of our hospital from 1986-1990. In 85.7% of the cases, the fistula had been caused by a tumor (adenocarcinoma of the colon) and in 14.3% by inflammatory disease (diverticulitis of the colon). All patients presented a varying degree of micturition syndrome; 30% had pneumaturia and 40% fecaluria. Cystoscopy proved to be the most effective in diagnosing colovesical fistula. It permitted visualization of the fistula or passage of fecal material to the bladder in 33% of the cases, while indirect endoscopic signs could be observed in 100%. Furthermore, it permitted the anatomopathological diagnosis of adenocarcinoma of the colon in 5 cases. We performed one-stage en bloc radical surgery in 57% of the cases, shotgun barrel discharge colostomy in 2 cases, exploration laparotomy in 3 and treatment was withheld in 1 case. The overall survival for the group submitted to radical surgery was 19.5 +/- 8.0 months. There were 4 deaths from metastasis, 2 from sepsis originating in the abdomen and the remaining deaths were due to iliofemoral venous thrombosis, cardiovascular disease and pneumopathy.

Authors+Show Affiliations

Vesa Llanés J
Servicio de Urología, Hospital Universitario del Mar, Facultad de Medicina, Universidad Autónoma de Barcelona, España.
Lladó Carbonell C
No affiliation info available
Valverde Sintas J
No affiliation info available
Bielsa Gali O
No affiliation info available
Arango Toro O
No affiliation info available
Gelabert Mas A
No affiliation info available

MeSH

AdenocarcinomaAgedAged, 80 and overAlgorithmsColonic NeoplasmsDiverticulitisEndoscopyFemaleHumansIntestinal FistulaMaleMiddle AgedRetrospective StudiesSigmoid DiseasesUrinalysisUrinary Bladder FistulaUrography

Pub Type(s)

English Abstract
Journal Article

Language

spa

PubMed ID

1817445

Citation

Vesa Llanés, J, et al. "[Vesico-sigmoidal Fistulas. Evaluation of the Diagnostic Performance of the Complementary Tests in Our Series]." Archivos Espanoles De Urologia, vol. 44, no. 10, 1991, pp. 1133-8.
Vesa Llanés J, Lladó Carbonell C, Valverde Sintas J, et al. [Vesico-sigmoidal fistulas. Evaluation of the diagnostic performance of the complementary tests in our series]. Arch Esp Urol. 1991;44(10):1133-8.
Vesa Llanés, J., Lladó Carbonell, C., Valverde Sintas, J., Bielsa Gali, O., Arango Toro, O., & Gelabert Mas, A. (1991). [Vesico-sigmoidal fistulas. Evaluation of the diagnostic performance of the complementary tests in our series]. Archivos Espanoles De Urologia, 44(10), 1133-8.
Vesa Llanés J, et al. [Vesico-sigmoidal Fistulas. Evaluation of the Diagnostic Performance of the Complementary Tests in Our Series]. Arch Esp Urol. 1991;44(10):1133-8. PubMed PMID: 1817445.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Vesico-sigmoidal fistulas. Evaluation of the diagnostic performance of the complementary tests in our series]. AU - Vesa Llanés,J, AU - Lladó Carbonell,C, AU - Valverde Sintas,J, AU - Bielsa Gali,O, AU - Arango Toro,O, AU - Gelabert Mas,A, PY - 1991/12/1/pubmed PY - 1991/12/1/medline PY - 1991/12/1/entrez SP - 1133 EP - 8 JF - Archivos espanoles de urologia JO - Arch Esp Urol VL - 44 IS - 10 N2 - We analyzed 14 cases of colovesical fistula that had been diagnosed and treated at the urology and gastroenterology and general surgery services of our hospital from 1986-1990. In 85.7% of the cases, the fistula had been caused by a tumor (adenocarcinoma of the colon) and in 14.3% by inflammatory disease (diverticulitis of the colon). All patients presented a varying degree of micturition syndrome; 30% had pneumaturia and 40% fecaluria. Cystoscopy proved to be the most effective in diagnosing colovesical fistula. It permitted visualization of the fistula or passage of fecal material to the bladder in 33% of the cases, while indirect endoscopic signs could be observed in 100%. Furthermore, it permitted the anatomopathological diagnosis of adenocarcinoma of the colon in 5 cases. We performed one-stage en bloc radical surgery in 57% of the cases, shotgun barrel discharge colostomy in 2 cases, exploration laparotomy in 3 and treatment was withheld in 1 case. The overall survival for the group submitted to radical surgery was 19.5 +/- 8.0 months. There were 4 deaths from metastasis, 2 from sepsis originating in the abdomen and the remaining deaths were due to iliofemoral venous thrombosis, cardiovascular disease and pneumopathy. SN - 0004-0614 UR - https://www.unboundmedicine.com/medline/citation/1817445/[Vesico_sigmoidal_fistulas__Evaluation_of_the_diagnostic_performance_of_the_complementary_tests_in_our_series]_ DB - PRIME DP - Unbound Medicine ER -