Novel Endoscopic Management of Colovesical Fistula Secondary to Colonic Diverticular Disease
Colovesical 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. W...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2021-03-01
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| Series: | Journal of Digestive Endoscopy |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1715283 |
| _version_ | 1819141782417440768 |
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| author | Murugesh Mallaiyappan Ganesh Prasad Sankarapandian Venugopal Sarveswaran Noufal TB Jothiprasad Venkatesan Vishmaya Venugopal |
| author_facet | Murugesh Mallaiyappan Ganesh Prasad Sankarapandian Venugopal Sarveswaran Noufal TB Jothiprasad Venkatesan Vishmaya Venugopal |
| author_sort | Murugesh Mallaiyappan |
| collection | DOAJ |
| description | Colovesical 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. |
| first_indexed | 2024-12-22T11:59:55Z |
| format | Article |
| id | doaj.art-11b8a53081a9421b96388b6cd7358edf |
| institution | Directory Open Access Journal |
| issn | 0976-5042 0976-5050 |
| language | English |
| last_indexed | 2024-12-22T11:59:55Z |
| publishDate | 2021-03-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Digestive Endoscopy |
| spelling | doaj.art-11b8a53081a9421b96388b6cd7358edf2022-12-21T18:26:39ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Digestive Endoscopy0976-50420976-50502021-03-01120104604810.1055/s-0040-1715283Novel Endoscopic Management of Colovesical Fistula Secondary to Colonic Diverticular DiseaseMurugesh Mallaiyappan0Ganesh Prasad Sankarapandian1Venugopal Sarveswaran2Noufal TB3Jothiprasad Venkatesan4Vishmaya Venugopal5Department of Gastroenterology, Sri Ramakrishna Hospital, Coimbatore, Tamil Nadu, IndiaDepartment of Urology, Sri Ramakrishna Hospital, Coimbatore, Tamil Nadu, IndiaDepatment of General Surgery, Sri Ramakrishna Hospital, Coimbatore, Tamil Nadu, IndiaDepatment of General Surgery, Sri Ramakrishna Hospital, Coimbatore, Tamil Nadu, IndiaDepatment of General Surgery, Sri Ramakrishna Hospital, Coimbatore, Tamil Nadu, IndiaDepatment of General Surgery, Sri Ramakrishna Hospital, Coimbatore, Tamil Nadu, IndiaColovesical 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.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1715283colovesical fistulacolonic diverticulosisover-the-scope clipcombined endoscopy |
| spellingShingle | Murugesh Mallaiyappan Ganesh Prasad Sankarapandian Venugopal Sarveswaran Noufal TB Jothiprasad Venkatesan Vishmaya Venugopal Novel Endoscopic Management of Colovesical Fistula Secondary to Colonic Diverticular Disease Journal of Digestive Endoscopy colovesical fistula colonic diverticulosis over-the-scope clip combined endoscopy |
| title | Novel Endoscopic Management of Colovesical Fistula Secondary to Colonic Diverticular Disease |
| title_full | Novel Endoscopic Management of Colovesical Fistula Secondary to Colonic Diverticular Disease |
| title_fullStr | Novel Endoscopic Management of Colovesical Fistula Secondary to Colonic Diverticular Disease |
| title_full_unstemmed | Novel Endoscopic Management of Colovesical Fistula Secondary to Colonic Diverticular Disease |
| title_short | Novel Endoscopic Management of Colovesical Fistula Secondary to Colonic Diverticular Disease |
| title_sort | novel endoscopic management of colovesical fistula secondary to colonic diverticular disease |
| topic | colovesical fistula colonic diverticulosis over-the-scope clip combined endoscopy |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1715283 |
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