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Enterovesical fistulae: aetiology, imaging, and management
Tomasz Golabek1, Anna Szymanska2, Tomasz Szopinski1
1Department of Urology, Collegium Medicum of the Jagiellonian University, Ulica Grzegorzecka 18, 31-531 Cracow, Poland.
Gastroenterology Research and Practice
|December 19, 2013
Summary
Enterovesical fistula (EVF) is a rare condition often caused by diverticulitis. Computed tomography (CT) is the most effective imaging method for diagnosing EVF, aiding in treatment decisions.
Area of Science:
- Gastroenterology
- Urology
- Radiology
Background:
- Enterovesical fistula (EVF) is a severe complication of inflammatory and neoplastic diseases.
- Accurate diagnosis is crucial for effective treatment planning by gastroenterologists and surgeons.
Purpose of the Study:
- To provide an overview of diagnostic methods for enterovesical fistulae.
- To briefly discuss the treatment of these fistulae.
Main Methods:
- Literature review of Medline database articles up to September 2013.
- Keywords used: enterovesical fistula, colovesical fistula (CVF), pelvic fistula, urinary fistula.
Main Results:
- Enterovesical fistula is rare, with diverticulitis being the most common cause.
- Key symptoms include pneumaturia, fecaluria, and recurrent urinary tract infections.
- Computed tomography (CT) is the preferred diagnostic modality, identifying fistulae and surrounding structures.
Conclusions:
- EVF is often diagnosed due to persistent urinary symptoms following management of diverticulitis or inflammatory bowel disease.
- CT is the most sensitive imaging test for diagnosing enterovesical fistula.
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