Chapter 46: Fistulas- Colonic Fistulas Flashcards
1
Q
What are they?
A
Include colovesical, colocutaneous, colovaginal, and coloenteric fistulas
2
Q
What are the most common causes?
A
- Diverticulitis (most common cause)
- cancer
- IBD
- foreign body
- irradiation
3
Q
What is the most common type?
A
Colovesical fistula, which often presents with:
- recurrent urinary tract infections
- other signs include:
- pneumaturia
- dysuria
- fecaluria
4
Q
How is the diagnosis made?
A
Via barium enema (BE) and cystoscopy
5
Q
What is the treatment?
A
Surgery: segmental colon resection and primary anastomosis; repair/resection of the involved organ
