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Akhtanin E.A.

Vishnevsky National Medical Research Center of Surgery

Markov P.V.

Region Clinical Hospital No. 2;
Kuban State Medical University

Goev A.A.

Vishnevsky Institute of Surgery

Struchkov V.Yu.

Vishnevsky National Medical Research Center of Surgery

Martirosyan T.A.

Vishnevsky National Medical Research Center of Surgery

Shukurov K.U.

Vishnevsky National Medical Research Center of Surgery

External-internal sigmoid-vesical fistula following sigmoid diverticulum perforation into the patent urachus

Authors:

Akhtanin E.A., Markov P.V., Goev A.A., Struchkov V.Yu., Martirosyan T.A., Shukurov K.U.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2022;(12‑2): 73‑77

DOI: 10.17116/hirurgia202212273

Views: 2045

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Table of contents

EXTERNAL-INTERNAL SIGMOID-VESICAL FISTULA FOLLOWING SIGMOID DIVERTICULUM PERFORATION INTO THE PATENT URACHUS
EXTERNAL-INTERNAL SIGMOID-VESICAL FISTULA FOLLOWING SIGMOID DIVERTICULUM PERFORATION INTO THE PATENT URACHUS

To cite this article:

Akhtanin EA, Markov PV, Goev AA, Struchkov VYu, Martirosyan TA, Shukurov KU. External-internal sigmoid-vesical fistula following sigmoid diverticulum perforation into the patent urachus. Pirogov Russian Journal of Surgery. 2022;(12‑2):73‑77. (In Russ.)
https://doi.org/10.17116/hirurgia202212273

Подписка 2025-2 (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
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A patient with external-internal sigmoid-vesical fistula is presented. The authors describe surgical intervention (urachus excision, removal of infiltrate with resection of bladder bottom and fistula-related segment of sigmoid). Surgical challenges due to localization of fistula and appropriate literature data are discussed.

Keywords:

urachus
intestinal fistula

Authors:

Akhtanin E.A.

Vishnevsky National Medical Research Center of Surgery

Markov P.V.

Region Clinical Hospital No. 2;
Kuban State Medical University

Goev A.A.

Vishnevsky Institute of Surgery

Struchkov V.Yu.

Vishnevsky National Medical Research Center of Surgery

Martirosyan T.A.

Vishnevsky National Medical Research Center of Surgery

Shukurov K.U.

Vishnevsky National Medical Research Center of Surgery

Received:

10.06.2022

Accepted:

15.07.2022

List of references:

  1. Timerbulatov MV, Gainutdinov FM, Mekhdiev DI, Khasanov SR, Timerbulatov ShV, Bagautdinov FZ. Diverticular disease complicated by fistulas. Koloproktologiya. 2013;3(45):21-25. (In Russ.).
  2. Pomeranz A. Anomalies, abnormalities and care of the umbilicus. Pediatric Clinics of North America. 2004;51(3):819-827.  https://doi.org/10.1016/j.pcl.2004.01.010
  3. Mesrobian HG, Zacharias A, Balcom AH, Cohen RD. Ten years experience with isolated urachal anomalies in children. The Journal of Urology. 1997;158(3 Pt 2):1316-1318. https://doi.org/10.1097/00005392-199709000-00173
  4. Quek ML, Shpall AI, Daneshmand S. Colourachal fistula in an adult presenting with feculent umbilical drainage. Journal of Urology. 2003;170(1):184.  https://doi.org/10.1097/01.ju.0000064921.76249.35
  5. Rapoport D, Alison R, Goshko V, McAuley I. Urachal-sigmoid fistula associated with diverticular disease. Canadian Urological Association Journal. 2007;1(1):52-54. 
  6. Flanagan DA, Mellinger JD. Urachal-sigmoid fistula in an adult male. The American Surgeon. 1998;64(8):762-763. 
  7. Coons BJ, Clark PE, Maynes LJ, Terhune KP, Stokes MC, Beech DJ. Sigmoid-urachal-cutaneous fistula in an adult male. Urology. 2009; 73(2):444.e5-7.  https://doi.org/10.1016/j.urology.2008.02.031
  8. Cirocchi R, Cochetti G, Randolph J, Listorti C, Castellani E, Renzi C, Mearini E, Fingerhut A. Laparoscopic treatment of colovesical fistulas due to complicated colonic diverticular disease: A systematic review. Techniques in Coloproctology. 2014;18(10):873-885.  https://doi.org/10.1007/s10151-014-1157-5
  9. Granieri S, Sessa F, Bonomi A, Paleino S, Bruno F, Chierici A, Sciannamea IM, Germini A, Campi R, Talso M, Facciorusso A, Deiana G, Serni S, Cotsoglou C. Indications and outcomes of enterovesical and colovesical fistulas: systematic review of the literature and meta-analysis of prevalence. BMC Surgery. 2021;21(1):265.  https://doi.org/10.1186/s12893-021-01272-6
  10. Marney LA, Ho YH. Laparoscopic management of diverticular colovesical fistula: experience in 15 cases and review of the literature. International Surgery. 2013;98(2):101-109.  https://doi.org/10.9738/INTSURG-D-13-00024.1
  11. El-Haddad HM, Kassem MI, Sabry AA, Abouelfotouh A. Surgical protocol and outcome for sigmoidovesical fistula secondary to diverticular disease of the left colon: A retrospective cohort study. International Journal of Surgery. 2018;56:115-123.  https://doi.org/10.1016/j.ijsu.2018.05.742
  12. Biffoni M, Urciuoli P, Grimaldi G, Eberspacher C, Santoro A, Pironi D, Sorrenti S. Colovesical fistula complicating diverticular disease: diagnosis and surgical management in elderly. Minerva Chirurgica. 2019;74(2):187-188. 
  13. De la Fuente Hernández N, Martínez Sánchez C, Solans Solerdelcoll M, Hernández Casanovas P, Bollo Rodríguez J, Gaya Sopena JM, Targarona Soler E. Colovesical Fistula: Applicability of the Laparoscopic Approach and Results According to Etiology. Cirugia Espanola. 2020;98(6):336-341.  https://doi.org/10.1016/j.ciresp.2019.11.011
  14. Maciel V, Lujan HJ, Plasencia G, Zeichen M, Mata W, Jorge I, Lee D, Viamonte M 3rd, Hartmann RF. Diverticular disease complicated with colovesical fistula: laparoscopic versus robotic management. International Surgery. 2014;99(3):203-210.  https://doi.org/10.9738/INTSURG-D-13-00201.1

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