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Techniques in Coloproctology
Erschienen in: Techniques in Coloproctology 4/2010

01.12.2010 | Review

Enterovesical fistulas: diagnosis and management

verfasst von: G. Scozzari, A. Arezzo, M. Morino

Erschienen in: Techniques in Coloproctology | Ausgabe 4/2010

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Abstract

Enterovesical fistula (EVF) is an abnormal communication between the intestine and the bladder. It represents a rare complication of inflammatory or neoplastic disease, and traumatic or iatrogenic injuries. The most common aetiologies are diverticular disease and colorectal carcinoma. Over 75% of affected patients describe pathognomonic features of pneumaturia, faecaluria and recurrent urinary tract infections. The diagnosis of EVF can be challenging, and frequently patients are monitored for months before the condition is recognised and treated effectively. Diagnostic tools include laboratory tests, imaging studies and endoscopic procedures. Although conservative management can be attempted in selected patients, in most cases, the treatment is mainly based on surgical interventions. Recently, the laparoscopic approach to EVF has been shown to be safe and effective. Although it is a rare condition in a general surgery setting, EVF is a challenging condition leading to high morbidity and mortality rates.
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Metadaten
Titel
Enterovesical fistulas: diagnosis and management
verfasst von
G. Scozzari
A. Arezzo
M. Morino
Publikationsdatum
01.12.2010
Verlag
Springer Milan
Erschienen in
Techniques in Coloproctology / Ausgabe 4/2010
Print ISSN: 1123-6337
Elektronische ISSN: 1128-045X
DOI
https://doi.org/10.1007/s10151-010-0602-3

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