Abstract:
:We describe an unconventional method of localizing a colovesical fistula by using a guide-wire, successfully carried out in a 45-year-old man with recurrent dysuria, pneumaturia, and suprapubic tenderness. First, we performed a cystoscopy to establish the fistulous tract in the bladder and passed the guide-wire through it. Next, we performed a colonoscopy, and the guide-wire was identified and brought out through the anus. This created a wire loop through the fistula. The transparietal catheter enabled us to detect the exact fistulous tract at laparotomy, making it possible to resect the inflamed colon and identify and resect the fistulous opening on the vesical wall. This technique allowed for a safer resection and a shorter operation time.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Aurello P,Cicchini C,D'Angelo F,Ramacciato G,Giuliani Adoi
10.1007/s00595-004-2786-5subject
Has Abstractpub_date
2004-01-01 00:00:00pages
799-801issue
9eissn
0941-1291issn
1436-2813journal_volume
34pub_type
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