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Published on: July 11, 2019
Enterovesical fistula caused by inflammatory bowel diseases
M Miyashita1, K Hao, T Matsuda
1Department of Surgery, National Yokosuka Hospital, Japan.
Nihon Ika Daigaku Zasshi
|December 1, 1992
Summary
Enterovesical fistula, a rare complication of inflammatory bowel diseases, can arise from diverticulitis or Crohn's disease. Surgical resection of affected bowel and bladder wall offers effective treatment, with long-term monitoring crucial for Crohn's disease patients.
Area of Science:
- Gastroenterology and Urology
- Surgical Innovation
- Inflammatory Bowel Disease Research
Background:
- Enterovesical fistula is a rare but serious complication.
- Inflammatory bowel diseases (IBD) like Crohn's disease and diverticulitis can cause this condition.
- Accurate diagnosis and effective treatment are critical for patient outcomes.
Observation:
- Three cases of enterovesical fistula are presented: two from sigmoid colon diverticulitis and one from Crohn's disease.
- Patients presented with recurrent cystitis, abdominal, and urinary symptoms.
- Diagnostic tools included barium enema, cystography, and cystoscopy.
Findings:
- Barium enema effectively identified the causative bowel diseases.
- Cystography or cystoscopy confirmed the enterovesical fistula diagnosis.
- One-stage surgical resection of the inflamed bowel, fistula, and affected bladder wall proved effective.
Implications:
- This surgical approach offers a viable treatment for enterovesical fistulas secondary to IBD.
- Long-term follow-up is essential, particularly for patients with Crohn's disease.
- Further research into managing these complex fistulas is warranted.
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