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العنوان
Enterovesical Fistulae:
Etiology, Diagnosis and Treatment
/
المؤلف
Aldieb,Ehsan Omar
هيئة الاعداد
باحث / إحـســان عمــر الـديـــب
مشرف / طــارق مصطفـــى الـزيـــات
مشرف / محمــــود أحمـــد محمـــــود
الموضوع
Enterovesical Fistulae-
تاريخ النشر
2015
عدد الصفحات
100.p;
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة المسالك البولية
تاريخ الإجازة
1/1/2015
مكان الإجازة
جامعة عين شمس - كلية الطب - Urology
الفهرس
Only 14 pages are availabe for public view

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from 32

Abstract

Normally, the urinary system is completely separated from the alimentary canal.
Enterovesical fistula (EVF) is an abnormal communication between the intestine and the bladder.
Based on the bowel segment involved, it can be divided into four main categories: colovesical (the commonest form, usually between sigmoid colon and bladder dome), rectovesical, ileovesical and appendicovesical (accounting for less than 5% of cases).
Enterovesical fistulae are an uncommon complication of both benign and malignant processes. The diagnosis of EVF may, however, be challenging. With a high index of suspicion for fistula formation in patients presenting with symptoms suggestive of abnormal communication between the intestine and the bladder, appropriate radiological investigation can lead to a significant reduction in morbidity. Recognition of a fistulous tract, delineation of its course, and characterisation of its complexity affect the EVF management.
In this respect, cross-sectional imaging with CT and MRI remains an ideal modality option in patients with enterovesical fistulae. Management of EVF is mainly dependent on the underlying pathology, site of the bowel lesion, and patient’s preoperative performance status. Surgical strategy is a preferred option in most of the cases.