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Colovesical Fistulae: The Varying Aetiologies
Mansoor Zafar1, Sara Lee2, Serena Tieger3
1Gastroenterology and Hepatology, and General Internal Medicine, Conquest Hospital, East Sussex Healthcare NHS Trust, St. Leonards-on-Sea, GBR.
Cureus
|December 13, 2021
Summary
Colovesical fistulae (CVF) present with pneumaturia and fecaluria. Management varies by age and health, with non-surgical options considered for frail elderly patients.
Area of Science:
- Gastroenterology
- Urology
- Surgical Management
Background:
- Colovesical fistulae (CVF) are abnormal connections between the colon and bladder.
- Common symptoms include pneumaturia and fecaluria, necessitating thorough investigation of etiology and complexity.
Observation:
- Surgical intervention is standard for younger patients with CVF.
- Older patients present challenges due to surgical candidacy concerns, often requiring conservative management strategies.
Findings:
- Two case studies highlight successful non-surgical management of CVF in frail elderly patients.
- Conservative approaches were implemented due to patient frailty, avoiding surgical risks.
Implications:
- Emphasizes the critical role of multidisciplinary team input for optimizing patient care in complex CVF cases.
- Suggests tailored, non-surgical strategies are viable for select elderly patients with colovesical fistulae.
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