Diagnosis and treatment of enterovesical fistula: report of 12 cases
10.3760/cma.j.cn113855-20230330-00163
- VernacularTitle:肠道膀胱内瘘12例临床分析
- Author:
Shiduo SONG
1
;
Youyuan TANG
;
Linhua JIANG
;
Xinguo ZHU
Author Information
1. 苏州大学附属第一医院普通外科，苏州 215006
- Keywords:
Intestinal fistula;
Urinary bladder fistula
- From:
Chinese Journal of General Surgery
2023;38(11):819-821
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the diagnosis and treatment of enterovesical fistula.Methods:The clinical data of 12 patients with enterovesical fistula at the First Affiliated Hospital of Soochow University from Jan 2012 to Dec 2021 were retrospectively analyzed.Results:There were 5 cases of rectovesical fistula, 4 cases of sigmoid colovesical fistula, 1 case of cecovesical fistula, and 2 cases of ileovesical fistula , with 1 female patient having concurrent vaginal vesical fistula . CT was carried out in 6 cases, enteroscopy in 5 cases, cystoscopy in 6 cases, cystography in 3 cases, and enterography in 2 cases. Eleven cases underwent surgical treatment, 1 case did not. Five cases underwent more than two operations, 1 case still had enterovesical fistula and died after ileostomy, 2 cases improved after enterotomy. One case underwent bowel resection and bladder repair and 3 cases underwent bowel resection and anastomosis combined with partial or total cystectomy, 4 cases underwent bowel resection, bladder repair, transverse colon or ileostomy. One died, 1 case still had enterovesical fistula and 10 cases were cured. There were no recurrence on follow-up.Conclusions:Enterovesical fistula is often secondary to intestinal tumors, and its clinical manifestations are mostly fecaluria and urinary tract infections. CT, cystoscopy, cystography and enterography are important diagnostic methods. Surgical treatment is the choice of therapy.
