Localization of a Colovesical Fistula Using a Retrograde Guide-Wire: Report of a Case |
| |
Authors: | Paolo Aurello Claudia Cicchini Francesco D’Angelo Giovanni Ramacciato Andrea Giuliani |
| |
Affiliation: | (1) Department of Surgery Pietro Valdoni, University of Rome La Sapienza, via Cairano 6, 00177 Rome, Italy |
| |
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 cathether 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. |
| |
Keywords: | Diverticulitis Colovesical fistula Surgery Guide-wire |
本文献已被 PubMed SpringerLink 等数据库收录! |
|