1. Colovesical fistulas.
- Author
-
Krco MJ, Jacobs SC, Malangoni MA, and Lawson RK
- Subjects
- Adult, Aged, Barium Sulfate, Colonic Diseases diagnostic imaging, Colonic Diseases etiology, Colonic Neoplasms complications, Colonic Neoplasms diagnostic imaging, Colonic Neoplasms surgery, Cystoscopy, Diverticulitis complications, Diverticulitis diagnostic imaging, Diverticulitis surgery, Enema, Female, Humans, Intestinal Fistula diagnostic imaging, Intestinal Fistula etiology, Male, Middle Aged, Postoperative Complications, Radiation Injuries, Radiography, Urinary Bladder Fistula diagnostic imaging, Urinary Bladder Fistula etiology, Uterine Cervical Neoplasms complications, Uterine Cervical Neoplasms diagnostic imaging, Uterine Cervical Neoplasms surgery, Colonic Diseases surgery, Intestinal Fistula surgery, Urinary Bladder Fistula surgery
- Abstract
Colovesical fistulas were identified in 42 patients. Diverticulitis was the underlying cause in 40 per cent of the patients. Carcinoma of the colon or cervix caused 33 per cent of the fistulas. Cystoscopy was the most effective procedure in diagnosing the fistulas. Surgical therapy had to be individualized to the patient's condition. Fistulas secondary to radiation were associated with a high complication rate.
- Published
- 1984
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