Colovaginal and colovesical fistulae: the diagnostic paradigm.

Techniques in Coloproctology
D J HolroydS J Warren

Abstract

Colovaginal and colovesical fistulae (CVF) are relatively uncommon conditions, most frequently resulting from diverticular disease or colorectal cancer. A high suspicion of a CVF can usually be obtained from an accurate clinical history. Demonstrating CVF radiologically is often challenging, and patients frequently undergo a multitude of investigations prior to definitive management. The aim of this study was to develop an algorithm for the investigation of suspected CVF in order to improve diagnosis and subsequent management. Thirty-seven patients from a single NHS Trust with a diagnosis of colovaginal or colovesical fistula were included in the study. Clinical records and imaging were reviewed retrospectively, and data on demographics, symptoms, investigations, management and outcome were collated. A total of 87.5% patients with a colovesical fistula presented with pathognomic symptoms of faecaluria or pneumaturia. The commonest aetiologies were diverticular disease (72.9%), colonic and gynaecological neoplasia (10.8% each). Computerised tomography (CT) was the most frequently performed investigation (91.9%) and was most sensitive in detecting the fistula (76.5%) and underlying aetiology (94.1%). Colonoscopy was most sensitiv...Continue Reading

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Citations

Nov 8, 2013·Techniques in Coloproctology·M S TamM A Abbas
Oct 2, 2015·International Journal of Colorectal Disease·Matthias Kraemer, David Kara
Sep 19, 2015·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Amer A AlkhatibMaher A Abbas
Apr 4, 2017·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Bogdan BadicGuillaume Meurette
Mar 7, 2018·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Andrew M YoungCharles M Friel
Apr 27, 2018·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Sun Hwa LeeSeokyong Ryu
May 14, 2016·Female Pelvic Medicine & Reconstructive Surgery·Mitchell B BergerRichard E Burney
May 16, 2017·Techniques in Coloproctology·Nicholas LatchanaSyed Husain
Jun 20, 2020·World Journal of Gastrointestinal Surgery·Conor KeadyMyles Joyce
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Nov 12, 2014·World Journal of Gastroenterology : WJG·Xiu-Qing WeiBin Wu
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