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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2021; 12(01): 046-048
DOI: 10.1055/s-0040-1715283
Endoscopic Video

Novel Endoscopic Management of Colovesical Fistula Secondary to Colonic Diverticular Disease

Murugesh Mallaiyappan
1   Department of Gastroenterology, Sri Ramakrishna Hospital, Coimbatore, Tamil Nadu, India
,
Ganesh Prasad Sankarapandian
2   Department of Urology, Sri Ramakrishna Hospital, Coimbatore, Tamil Nadu, India
,
Venugopal Sarveswaran
3   Depatment of General Surgery, Sri Ramakrishna Hospital, Coimbatore, Tamil Nadu, India
,
Noufal TB
3   Depatment of General Surgery, Sri Ramakrishna Hospital, Coimbatore, Tamil Nadu, India
,
Jothiprasad Venkatesan
3   Depatment of General Surgery, Sri Ramakrishna Hospital, Coimbatore, Tamil Nadu, India
,
Vishmaya Venugopal
3   Depatment of General Surgery, Sri Ramakrishna Hospital, Coimbatore, Tamil Nadu, India
› Author Affiliations Funding No funding sources.
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Abstract

Colovesical fistula (CVF) is an abnormal communication between bowel and urinary bladder. Most common cause is complicated colonic diverticular disease. The treatment of choice for CVF is surgery. Conservative treatment is reserved for highly selected patients who are unfit for definitive surgery. We report the case of an 86-year-old gentleman with multiple comorbidities, who presented with pneumaturia, fecaluria, and recurrent urinary tract infection. He was diagnosed to have sigmoid colonic diverticulosis with a CVF and was successfully managed with the novel combined endoscopic approach (a simultaneous cystoscopy and flexible colonoscopy), which could be the first to be reported from India.

Keywords

colovesical fistula - colonic diverticulosis - over-the-scope clip - combined endoscopy


Publication History

Article published online:
27 July 2021

© 2020. Society of Gastrointestinal Endoscopy of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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