scholarly journals Novel Endoscopic Management of Colovesical Fistula Secondary to Colonic Diverticular Disease

2021 ◽  
Vol 12 (01) ◽  
pp. 046-048
Author(s):  
Murugesh Mallaiyappan ◽  
Ganesh Prasad Sankarapandian ◽  
Venugopal Sarveswaran ◽  
Noufal TB ◽  
Jothiprasad Venkatesan ◽  
...  

AbstractColovesical 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.

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Evangelos Falidas ◽  
Georgios Anyfantakis ◽  
Stavros Boutzouvis ◽  
Michail Kyriakopoulos ◽  
Stavros Mathioulakis ◽  
...  

Colovesical fistula is a common complication of diverticulitis. Pneumaturia, fecaluria, urinary tract infections, abdominal pain, and dysuria are commonly reported. The authors report a case of colovesical fistula due to asymptomatic diverticulitis, and they emphasize the importance of deeply investigate recurrent urinary tract infection without any bowel symptoms. They also briefly review the literature.


2019 ◽  
Vol 5 (3) ◽  
pp. 252-253
Author(s):  
Swapnil Kadam ◽  
Vinay S Kundargi ◽  
Siddangouda Patil ◽  
Basavesh Patil ◽  
Nilesh Guru ◽  
...  

2013 ◽  
Vol 35 (4) ◽  
pp. 341-345
Author(s):  
Natália Silva Cavalcanti ◽  
Lorena Luryann Cartaxo da Silva ◽  
Leonardo Sales da Silva ◽  
Luiz Antonio Cavalcante da Fonseca ◽  
Cristianne da Silva Alexandre

2021 ◽  
Vol 33 (1) ◽  
pp. 94-98
Author(s):  
Refaya Tasnim ◽  
Nawsabah Noor ◽  
Quazi Tarikul Islam

Hematochezia or passage of fresh blood per rectum is a relatively common finding in medical practice which mostly indicates lower gastrointestinal bleeding. The causes for lower gastrointestinal bleeding include diverticular disease, vascular ectasia, ischemic, inflammatory or infectious colitis, colonic neoplasia, hemorrhoids, anal fissures and small bowel lesions (Crohn’s disease, Vascularectasia, Meckel’s diverticulum).If a patient comes with severe hematochezia, the first and foremost task is to stabilize the patient and then find out the source of bleeding as soon as possible. Elderly patients presenting with severe hematochezia, is most likely due to colorectal malignancy but benign causes like colonic diverticulosis can also present as life threatening bleeding in rare occasions. Here we report a case of 70-years-old male patient presenting with severe painless hematochezia leading to severe anemia due to diverticulosis. Bangladesh J Medicine July 2022; 33(1) : 94-98


Author(s):  
Kathleen M. Coakley ◽  
Bradley R. Davis ◽  
Kevin R. Kasten

AbstractThe modern management of colonic diverticular disease involves grouping patients into uncomplicated or complicated diverticulitis, after which the correct treatment paradigm is instituted. Recent controversies suggest overlap in management strategies between these two groups. While most reports still support surgical intervention for the treatment of complicated diverticular disease, more data are forthcoming suggesting complicated diverticulitis does not merit surgical resection in all scenarios. Given the significant risk for complication in surgery for diverticulitis, careful attention should be paid to patient and procedure selection. Here, we define complicated diverticulitis, discuss options for surgical intervention, and explain strategies for avoiding operative pitfalls that result in early and late postoperative complications.


2021 ◽  
Author(s):  
James D. Noyes ◽  
Ify R. Mordi ◽  
Qaiser Zeb ◽  
Chim C. Lang

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