Localization of a colovesical fistula using a retrograde guide-wire: report of a case.

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 Today

journal_title

Surgery today

authors

Aurello P,Cicchini C,D'Angelo F,Ramacciato G,Giuliani A

doi

10.1007/s00595-004-2786-5

subject

Has Abstract

pub_date

2004-01-01 00:00:00

pages

799-801

issue

9

eissn

0941-1291

issn

1436-2813

journal_volume

34

pub_type

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