Benign colovesical fistulae
Mitchell, D.I.; Fletcher, P.R.
West Indian Medical Journal 42(1): 31-33
1993
ISSN/ISBN: 0043-3144 PMID: 8503214 Document Number: 419389
Two successfully treated cases of benign colovesical fistula are presented. The condition should be suspected whenever patients with colorectal disease develop urinary symptoms. Flexible colonoscopy and a lateral abdominal X-ray should be the initial investigations; but barium enema, cystoscopy and, rarely, CT scan may be necessary to confirm the presence of a colovesical fistula. Patients should be managed conservatively during the acute phase, and then be treated definitively by a single-stage bowel resection. Simple closure or resection and closure is used for the bladder-defect.