Colovesical Fistula: An Uncommon Cause of Hematuria and Rectal Bleeding
Colovesical fistula is an infrequent complication of diverticular disease that presents with pneumaturia, fecaluria, dysuria and, rarely, hematuria or hematochezia. Here we present a case of concurrent hematuria and rectal bleeding arising from a diverticular bleed traversing a previously undiagnose...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2022/1419250 |
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| author | Jeffrey K. Than Greg S. Cohen |
| author_facet | Jeffrey K. Than Greg S. Cohen |
| author_sort | Jeffrey K. Than |
| collection | DOAJ |
| description | Colovesical fistula is an infrequent complication of diverticular disease that presents with pneumaturia, fecaluria, dysuria and, rarely, hematuria or hematochezia. Here we present a case of concurrent hematuria and rectal bleeding arising from a diverticular bleed traversing a previously undiagnosed colovesical fistula. Other causes of colovesical fistula include Crohn’s disease, radiation, and malignancy, though it is most commonly caused by complicated diverticulitis as in this case. Computed tomography (CT) imaging, cystoscopy, and gastrograffin enema have been described as high-yield diagnostic tests. Interestingly, colonoscopy is only successful in diagnosing colovesical fistula in approximately 55% of cases. Management often requires surgical intervention, as in this case, given limited success with conservative management. Colovesical fistula should be considered in patients presenting with fecaluria, pneumaturia, and dysuria as well as in cases of hematuria. |
| format | Article |
| id | doaj-art-db2cfdb4f27442b6aa68cd2beb14e033 |
| institution | Kabale University |
| issn | 2090-6536 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-db2cfdb4f27442b6aa68cd2beb14e0332025-02-03T01:24:37ZengWileyCase Reports in Gastrointestinal Medicine2090-65362022-01-01202210.1155/2022/1419250Colovesical Fistula: An Uncommon Cause of Hematuria and Rectal BleedingJeffrey K. Than0Greg S. Cohen1Department of MedicineDivision of Gastroenterology and HepatologyColovesical fistula is an infrequent complication of diverticular disease that presents with pneumaturia, fecaluria, dysuria and, rarely, hematuria or hematochezia. Here we present a case of concurrent hematuria and rectal bleeding arising from a diverticular bleed traversing a previously undiagnosed colovesical fistula. Other causes of colovesical fistula include Crohn’s disease, radiation, and malignancy, though it is most commonly caused by complicated diverticulitis as in this case. Computed tomography (CT) imaging, cystoscopy, and gastrograffin enema have been described as high-yield diagnostic tests. Interestingly, colonoscopy is only successful in diagnosing colovesical fistula in approximately 55% of cases. Management often requires surgical intervention, as in this case, given limited success with conservative management. Colovesical fistula should be considered in patients presenting with fecaluria, pneumaturia, and dysuria as well as in cases of hematuria.http://dx.doi.org/10.1155/2022/1419250 |
| spellingShingle | Jeffrey K. Than Greg S. Cohen Colovesical Fistula: An Uncommon Cause of Hematuria and Rectal Bleeding Case Reports in Gastrointestinal Medicine |
| title | Colovesical Fistula: An Uncommon Cause of Hematuria and Rectal Bleeding |
| title_full | Colovesical Fistula: An Uncommon Cause of Hematuria and Rectal Bleeding |
| title_fullStr | Colovesical Fistula: An Uncommon Cause of Hematuria and Rectal Bleeding |
| title_full_unstemmed | Colovesical Fistula: An Uncommon Cause of Hematuria and Rectal Bleeding |
| title_short | Colovesical Fistula: An Uncommon Cause of Hematuria and Rectal Bleeding |
| title_sort | colovesical fistula an uncommon cause of hematuria and rectal bleeding |
| url | http://dx.doi.org/10.1155/2022/1419250 |
| work_keys_str_mv | AT jeffreykthan colovesicalfistulaanuncommoncauseofhematuriaandrectalbleeding AT gregscohen colovesicalfistulaanuncommoncauseofhematuriaandrectalbleeding |