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• W2016342242 abstract "No AccessJournal of UrologyClinical Urology: Original Article1 Jan 1995Accuracy of Computerized Tomography in the Diagnosis of Colovesical Fistula Secondary to Diverticular Disease Thomas W. Jarrett and E. Darracott Vaughan Thomas W. JarrettThomas W. Jarrett More articles by this author and E. Darracott VaughanE. Darracott Vaughan More articles by this author View All Author Informationhttps://doi.org/10.1097/00005392-199501000-00018AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail We reviewed 9 consecutive patients with colovesical fistula secondary to diverticulitis during a 2-year period. Preoperative evaluation included computerized tomography (CT) and a barium enema or colonoscopy in all patients (8 underwent cystoscopy). All patients subsequently underwent laparotomy with a single or multiple staged repair. Using CT criteria for diagnosis of colovesical fistulas, the study accurately predicted the presence and location of fistula in 8 patients, and was suspicious in 1. Findings at cystoscopy only diagnosed 3 fistulas and were suspicious in 4. The remaining diagnostic tests, including excretory urography, barium enema, abdominal plain films, colonoscopy and cystogram, were unremarkable except for a single cystogram and barium enema. In addition to documenting the fistula, CT provided important intraluminal and extraluminal pathological findings helpful in planning subsequent surgery. Thus, CT should be included in the initial evaluation of patients with suspected colovesical fistula. References 1 : The passage of air and feces per urethra. In: Cancer of the Rectum: Its Pathology, Diagnosis and Treatment Including a Portion of the Jacksonian Prize Essay for 1876. London: J & A Churchill1888: 191. chapt. 7. Google Scholar 2 : Diagnosis and management of colovesical fistula. Surg., Gynec & Obst.1976; 143: 71. Google Scholar 3 : Urologic aspects of vesicoenteric fistulas. J. Urol.1978; 119: 744. Link, Google Scholar 4 : Colovesical fistulas. Urology1984; 23: 340. Google Scholar 5 : Vesicocolonic fistulas in diverticulitis. J. Urol.1976; 115: 664. Link, Google Scholar 6 : Complications of acute diverticulitis of the colon: improved early diagnosis with computerized tomography. Amer. J. Surg.1988; 155: 331. Google Scholar 7 : Colovesical fistula. Ann. Roy. Coll. Surg. Engl.1987; 69: 163. Google Scholar 8 : Diagnosis and treatment of colovesical fistula. Surg., Gynec. & Obst.1970; 130: 1082. Google Scholar 9 : Fistula and conditions associated with diverticular disease of the colon. Clin. Gastroent.1975; 4: 171. Google Scholar 10 : Genitourinary manifestations of diverticulitis of the colon: a study of 500 cases. J.A.M.A.1962; 179: 76. Google Scholar 11 : Intestinovesical fistulas: a report of seven cases and review of the literature. J.A.M.A.1957; 164: 251. Google Scholar 12 : CT in the diagnosis of enterovesical fistulae. AJR1985; 144: 1229. Google Scholar 13 : Enterovesical fistula. Surg., Gynec. & Obst.1987; 164: 41. Google Scholar 14 : CT demonstration of colovesical fistulae secondary to diverticulitis. J. Comput. Assist. Tomogr.1984; 83: 462. Google Scholar 15 : Computed tomographic diagnosis of enterovesical fistulae: barium evacuation method. Gastroint. Rad.1988; 13: 233. Google Scholar From the Department of Urology, The James Buchanan Brady Foundation, New York Hospital-Cornell Medical Center, New York, New York© 1995 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byMelchior S, Cudovic D, Jones J, Thomas C, Gillitzer R and Thüroff J (2018) Diagnosis and Surgical Management of Colovesical Fistulas Due to Sigmoid DiverticulitisJournal of Urology, VOL. 182, NO. 3, (978-982), Online publication date: 1-Sep-2009.Kwon E, Armenakas N, Scharf S, Panagopoulos G and Fracchia J (2018) The Poppy Seed Test for Colovesical Fistula: Big Bang, Little Bucks!Journal of Urology, VOL. 179, NO. 4, (1425-1427), Online publication date: 1-Apr-2008.FRETZ P, KIRBY P and O’DONNELL M (2018) Intravesical Colonic PseudotumorJournal of Urology, VOL. 171, NO. 1, (340-340), Online publication date: 1-Jan-2004. Volume 153Issue 1January 1995Page: 44-46 Advertisement Copyright & Permissions© 1995 by American Urological Association, Inc.MetricsAuthor Information Thomas W. Jarrett More articles by this author E. Darracott Vaughan More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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• W2016342242 title "Accuracy of Computerized Tomography in the Diagnosis of Colovesical Fistula Secondary to Diverticular Disease" @default.
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