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[A case of colo-vesico-vaginal fistula caused by sigmoid colon diverticulitis].
Hinyokika Kiyo. 1998 Jul; 44(7):513-5.HK

Abstract

A 74-year-old woman was referred to our hospital with the chief complaints of pneumaturia, fecaluria and discharge of feces and urine from vagina. Fistulography on the vaginal side showed the presence of contrast medium both in the sigmoid colon and bladder. Colonoscopy revealed multiple diverticulosis of the sigmoid colon. Under diagnosis of colo-vesico-vaginal fistula due to sigmoid colon diverticulitis, a one-stage operation removing sigmoid colon, uterus-vaginal wall and urinary bladder wall including the fistula and careful reconstruction was performed. Postoperatively, urinary leakage from vagina in large amounts continued due to the recurrence of vesico-vaginal fistula. An attempt to use human fibrin glue in the recurrent fistula was successful, and the patient was asymptomatic at 21 months of follow-up. Colovesical fistula has been reported in about 10-20% of patients undergoing surgery for complicated diverticulitis, but a combined fistula is a rare condition. Furthermore, we recommend the use of human fibrin glue for a recurrent fistula.

Authors+Show Affiliations

Department of Urology, Jichi Medical School.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

jpn

PubMed ID

9752610

Citation

Yashi, M, et al. "[A Case of Colo-vesico-vaginal Fistula Caused By Sigmoid Colon Diverticulitis]." Hinyokika Kiyo. Acta Urologica Japonica, vol. 44, no. 7, 1998, pp. 513-5.
Yashi M, Muraishi O, Yuzawa M, et al. [A case of colo-vesico-vaginal fistula caused by sigmoid colon diverticulitis]. Hinyokika Kiyo. 1998;44(7):513-5.
Yashi, M., Muraishi, O., Yuzawa, M., & Tokue, A. (1998). [A case of colo-vesico-vaginal fistula caused by sigmoid colon diverticulitis]. Hinyokika Kiyo. Acta Urologica Japonica, 44(7), 513-5.
Yashi M, et al. [A Case of Colo-vesico-vaginal Fistula Caused By Sigmoid Colon Diverticulitis]. Hinyokika Kiyo. 1998;44(7):513-5. PubMed PMID: 9752610.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [A case of colo-vesico-vaginal fistula caused by sigmoid colon diverticulitis]. AU - Yashi,M, AU - Muraishi,O, AU - Yuzawa,M, AU - Tokue,A, PY - 1998/9/30/pubmed PY - 1998/9/30/medline PY - 1998/9/30/entrez SP - 513 EP - 5 JF - Hinyokika kiyo. Acta urologica Japonica JO - Hinyokika Kiyo VL - 44 IS - 7 N2 - A 74-year-old woman was referred to our hospital with the chief complaints of pneumaturia, fecaluria and discharge of feces and urine from vagina. Fistulography on the vaginal side showed the presence of contrast medium both in the sigmoid colon and bladder. Colonoscopy revealed multiple diverticulosis of the sigmoid colon. Under diagnosis of colo-vesico-vaginal fistula due to sigmoid colon diverticulitis, a one-stage operation removing sigmoid colon, uterus-vaginal wall and urinary bladder wall including the fistula and careful reconstruction was performed. Postoperatively, urinary leakage from vagina in large amounts continued due to the recurrence of vesico-vaginal fistula. An attempt to use human fibrin glue in the recurrent fistula was successful, and the patient was asymptomatic at 21 months of follow-up. Colovesical fistula has been reported in about 10-20% of patients undergoing surgery for complicated diverticulitis, but a combined fistula is a rare condition. Furthermore, we recommend the use of human fibrin glue for a recurrent fistula. SN - 0018-1994 UR - https://www.unboundmedicine.com/medline/citation/9752610/[A_case_of_colo_vesico_vaginal_fistula_caused_by_sigmoid_colon_diverticulitis]_ L2 - https://repository.kulib.kyoto-u.ac.jp/dspace/handle/2433/116211 DB - PRIME DP - Unbound Medicine ER -