VESICO-SIGMOID FISTULA (CASE REPORT)

Authors

  • Lomidze N. ლომიძე ნ.
  • Iremashvili B. ირემაშვილი ბ.
  • Iremashvili B. ახმეტელი ლ.
  • Saginashvili L. საგინაშვილი ლ.
  • Magalashvili D. მაღალაშვილი დ.

DOI:

https://doi.org/10.52340/csw.2016.50.0.77-79

Keywords:

No Keywords

Abstract

Vesico-sigmoid fistula is the fistula between the bladder and sigmoid colon. One of the reasons for the development of this pathology is sigmoid colon cancer. Fistula formation is based on the invasion of sigmoid colon cancer into bladder wall, its destruction and formation of connection between these organs.  Approximately 0.6% of colon cancer complicates by Colo-vesicular fistula. With a male-to-female ratio 3:1. Nowadays, Due to ability of early, high-tech investigation of colon, sigmoid colon cancer is diagnosed at an earlier stage, therefore frequency of such complication, as vesico-sigmoid fistula is reduced. In case of vesico-sigmoid fistula, due to the pressure gra- dient, as a rule, the content of the colon enters the bladder and clinical signs of urinary tract infection are present, this is the main reason for patients to visit a doctor. The treat- ment of choice is surgery. A case of vesico-sigmoid fistula developed through invasion of colon adenocarcinoma in to the posterior wall of the bladder has been presented.  The patient was admitted to the hospital in septic condition, with suprapubic pain, disuria, tenesmus. Clinical studies  revealed sigmoid colon cancer, vesico-sigmoid fistula. Due to poor condition of the patient, transversostomy was performed, 3 weeks later – radical surgery - excision of the tumor and vesico-sigmoid fistula closure. Colostoma was closured in 6,5 month.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Tomasz Golabek, Anna Szymanska, Tomasz Szopinski, Jakub Bukowczan, Mariusz Furmanek Jan Powroznik, and Piotr Chlosta Enterovesical Fistulae: Aetiology, Imaging, and Management, Review ArticleGastroenterology Research and Practice,Volume 2013 (2013), Article ID 617967, 8 pages

D. Kavanagh, P. Neary, J. D. Dodd, K. M. Sheahan, D. O’Donoghue, and J. M. P. Hyland, Diagnosis and treatment of enterovesical fistulae, Colorectal Disease, 2005, vol. 7, no. 3, pp. 286–291,

S. F. Najjar, M. K. Jamal, J. F. Savas, and T. A. Miller, “The spectrum of colovesical fistula and diagnostic paradigm,” American Journal of Surgery, vol. 188, no. 5, pp. 617–621, 2004.

D. H. Patel, S. Dang, F. R. Bentley, R. N. Julka, K. W. Olden, and F. Aduli, “Carcinosarcoma of the colon: a rare cause of colovesical fistula,” American Surgeon, vol. 75, no. 4, pp. 335–337, 2009.

I. R. Daniels, B. Bekdash, H. J. Scott, C. G. Marks, and D. R. Donaldson, “Diagnostic lessons learnt from a series of enterovesical fistulae,” Colorectal Disease, vol. 4, no. 6, pp. 459–462, 2002.

Downloads

Published

2021-06-18

How to Cite

ლომიძე ნ. L. N., ირემაშვილი ბ. I. B., ახმეტელი ლ. I. B., საგინაშვილი ლ. S. L., & მაღალაშვილი დ. M. D. (2021). VESICO-SIGMOID FISTULA (CASE REPORT). TSMU COLLECTION OF SCIENTIFIC WORKS, 50, 77–79. https://doi.org/10.52340/csw.2016.50.0.77-79

Most read articles by the same author(s)