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Related Experiment Videos

[Inflammatory vesicosigmoidal fistula. A case report].

N Yoshimura, O Ogawa, K Nishimura

    Hinyokika Kiyo. Acta Urologica Japonica
    |June 1, 1984
    PubMed
    Summary

    A case of inflammatory vesicosigmoidal fistula, characterized by urinary frequency and pain, was successfully treated with lesion resection. This highlights an increase in such fistulas, particularly those linked to sigmoid diverticulitis.

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    Area of Science:

    • Urology
    • Gastroenterology
    • Surgical Pathology

    Background:

    • Inflammatory vesicosigmoidal fistula is a rare condition characterized by abnormal communication between the bladder and sigmoid colon.
    • Symptoms often include urinary frequency (pollakisuria) and dysuria, potentially mimicking urinary tract infections or other lower urinary tract symptoms.

    Observation:

    • A 44-year-old male presented with significant pollakisuria and pain upon voiding.
    • Colonofiberscopic examination was crucial in identifying the vesicosigmoidal fistula.
    • The patient underwent primary resection of the affected lesion.

    Findings:

    • Postoperative recovery was uneventful, indicating successful surgical management.
    • Histopathological analysis confirmed nonspecific inflammation, ruling out neoplastic or other specific etiologies.

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  • A review of recent literature revealed 29 reported cases of inflammatory vesicosigmoidal fistula in the past five years.

    • Implications:

    • The reported increase in vesicosigmoidal fistulas, especially those secondary to sigmoid diverticulitis, suggests a potential rise in this specific etiology.
    • Early diagnosis and surgical intervention are key to favorable outcomes.
    • Further research into the increasing incidence and specific risk factors for diverticulitis-related vesicosigmoidal fistulas is warranted.