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Enterovesical fistula.

M G Sarr, E K Fishman, S M Goldman

    Surgery, Gynecology & Obstetrics
    |January 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

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    Computed tomography (CT) is the most accurate diagnostic tool for enterovesical fistulas. CT scans demonstrated all fistulas, unlike other tests, making it superior for diagnosis.

    Area of Science:

    • Urology
    • Radiology
    • Gastroenterology

    Background:

    • Enterovesical fistulas are abnormal connections between the intestine and bladder.
    • Diagnosis can be challenging with conventional imaging methods.

    Purpose of the Study:

    • To evaluate the diagnostic accuracy of computed tomography (CT) for enterovesical fistulas.
    • To compare CT with other standard diagnostic tests.

    Main Methods:

    • Retrospective review of 24 patients with enterovesical fistulas over 18 months.
    • Analysis of diagnostic test results including small intestinal series, intravenous pyelogram, cystoscopy, cystogram, and CT scans.

    Main Results:

    • All 24 patients had positive CT findings, demonstrating thickened bowel and bladder walls, and paravesical masses.

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  • Conventional tests showed low sensitivity: small intestinal series (5/13), IVP (0/16), cystoscopy (1/15), cystogram (4/10).
  • Pneumaturia and fecaluria were present in 15 and 4 patients, respectively.

    • Conclusions:

    • Computed tomography is the most accurate imaging modality for diagnosing enterovesical fistulas.
    • CT should be the primary diagnostic tool, potentially replacing less sensitive conventional tests.