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01-06-2020 | Computed Tomography | Review

Urinary bladder fistulae and the role of CT cystography: a pictorial review

Authors: Daniel F. Fouladi, Shahab Shayesteh, Elliot K. Fishman, Linda C. Chu

Published in: Abdominal Radiology | Issue 6/2020

Abstract

Various conditions such as inflammation, malignancy, surgical manipulations, and radiation therapy can lead to the development of urinary bladder fistulae. Although many of these fistulae are suspected clinically, imaging plays a major role in confirmation and planning of subsequent treatment. Computed tomography (CT) cystoscopy provides useful details regarding the fistulous track and the anatomy of the region. This article aims to provide a succinct review of bladder fistulae and the role of CT cystography in their management.

McBeath RB, Schiff M, Jr., Allen V, Bottaccini MR, Miller JI, Ehreth JT (1994) A 12-year experience with enterovesical fistulas. Urology 44 (5):661-665. https://doi.org/10.1016/s0090-4295(94)80200-9

Tonolini M, Bianco R (2012) Multidetector CT cystography for imaging colovesical fistulas and iatrogenic bladder leaks. Insights Imaging 3 (2):181-187. https://doi.org/10.1007/s13244-011-0145-9

Yu NC, Raman SS, Patel M, Barbaric Z (2004) Fistulas of the genitourinary tract: a radiologic review. Radiographics: a review publication of the Radiological Society of North America, Inc 24 (5):1331-1352. https://doi.org/10.1148/rg.245035219

Golabek T, Szymanska A, Szopinski T, Bukowczan J, Furmanek M, Powroznik J, Chlosta P (2013) Enterovesical fistulae: aetiology, imaging, and management. Gastroenterology research and practice 2013:617967. https://doi.org/10.1155/2013/617967

Melchior S, Cudovic D, Jones J, Thomas C, Gillitzer R, Thuroff J (2009) Diagnosis and surgical management of colovesical fistulas due to sigmoid diverticulitis. The Journal of urology 182 (3):978-982. https://doi.org/10.1016/j.juro.2009.05.022

Goldman SM, Fishman EK, Gatewood OM, Jones B, Siegelman SS (1985) CT in the diagnosis of enterovesical fistulae. AJR American journal of roentgenology 144 (6):1229-1233. https://doi.org/10.1016/j.juro.2009.05.022

Najjar SF, Jamal MK, Savas JF, Miller TA (2004) The spectrum of colovesical fistula and diagnostic paradigm. American journal of surgery 188 (5):617-621. https://doi.org/10.1016/j.amjsurg.2004.08.016

Balsara KP, Dubash C (1998) Complicated sigmoid diverticulosis. Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology 17 (2):46-47

Sarr MG, Fishman EK, Goldman SM, Siegelman SS, Cameron JL (1987) Enterovesical fistula. Surgery, gynecology & obstetrics 164 (1):41-48

10.

Jarrett TW, Vaughan ED, Jr. (1995) Accuracy of computerized tomography in the diagnosis of colovesical fistula secondary to diverticular disease. The Journal of urology 153 (1):44-46. https://doi.org/10.1097/00005392-199501000-00018

11.

Kirsh GM, Hampel N, Shuck JM, Resnick MI (1991) Diagnosis and management of vesicoenteric fistulas. Surgery, gynecology & obstetrics 173 (2):91-97

12.

Shatila AH, Ackerman NB (1976) Diagnosis and management of colovesical fistulas. Surg Gynecol Obstet 143 (1):71-74

13.

Pollard SG, Macfarlane R, Greatorex R, Everett WG, Hartfall WG (1987) Colovesical fistula. Ann R Coll Surg Engl 69 (4):163-165

14.

Daniels IR, Bekdash B, Scott HJ, Marks CG, Donaldson DR (2002) Diagnostic lessons learnt from a series of enterovesical fistulae. Colorectal disease: the official journal of the Association of Coloproctology of Great Britain and Ireland 4 (6):459-462

15.

Gatta G, Di Grezia G, Di Mizio V, Landolfi C, Mansi L, De Sio I, Rotondo A, Grassi R (2012) Crohn’s disease imaging: a review. Gastroenterology research and practice 2012:816920. https://doi.org/10.1155/2012/816920

16.

Randall D, Tittle V, Wright G, Blanshard C (2010) Crohn’s disease and enterovesical fistulae: common things are common. British journal of hospital medicine 71 (9):530-531. https://doi.org/10.12968/hmed.2010.71.9.78167

17.

Sebastia Cerqueda C, Merino Pena E, Quiroga Gomez S, Alvarez-Castells A (2007) [Vesicosigmoid fistulas secondary to diverticulitis: helical CT diagnosis]. Radiologia 49 (5):343-345

18.

Carvajal Balaguera J, Camunas Segovia J, Pena Gamarra L, Oliart Delgado de Torres S, Martin Garcia-Almenta M, Viso Ciudad S, Fernandez IP, Gomez Maestro P, Cerquella Hernandez C (2006) Colovesical fistula complicating diverticular disease: one-stage resection. International surgery 91 (1):17-23

19.

Kiani QH, George ML, Carapeti EA, Schizas AM, Williams AB (2015) Colovesical fistula: should it be considered a single disease? Ann Coloproctol 31 (2):57-62. https://doi.org/10.3393/ac.2015.31.2.57

20.

Karamchandani MC, West CF, Jr. (1984) Vesicoenteric fistulas. American journal of surgery 147 (5):681-683

21.

Aldrete JS, ReMine WH (1967) Vesicocolic fistula–a complication of colonic cancer. Long-term results of its surgical treatment. Arch Surg 94 (5):627-637. https://doi.org/10.1001/archsurg.1967.01330110043006

22.

Kaiser AM (2009) McGraw-Hill manual. Colorectal surgery. McGraw-Hill Medical, New York

23.

Woods RJ, Lavery IC, Fazio VW, Jagelman DG, Weakley FL (1988) Internal fistulas in diverticular disease. Diseases of the colon and rectum 31 (8):591-596

24.

Labs JD, Sarr MG, Fishman EK, Siegelman SS, Cameron JL (1988) Complications of acute diverticulitis of the colon: improved early diagnosis with computerized tomography. American journal of surgery 155 (2):331-336

25.

Shinojima T, Nakajima F, Koizumi J (2002) Efficacy of 3-D computed tomographic reconstruction in evaluating anatomical relationships of colovesical fistula. International journal of urology: official journal of the Japanese Urological Association 9 (4):230-232

26.

Anderson GA, Goldman IL, Mulligan GW (1997) 3-dimensional computerized tomographic reconstruction of colovesical fistulas. The Journal of urology 158 (3 Pt 1):795-797

27.

Roth S, Rathert P, Lobel B (1992) [The Bourne’s test: a relevant contribution to the diagnosis of vesico-enteric fistulas]. Progres en urologie: journal de l’Association francaise d’urologie et de la Societe francaise d’urologie 2 (3):472-476

28.

Haggett PJ, Moore NR, Shearman JD, Travis SP, Jewell DP, Mortensen NJ (1995) Pelvic and perineal complications of Crohn’s disease: assessment using magnetic resonance imaging. Gut 36 (3):407-410

29.

Chen SS, Chou YH, Tiu CM, Chang T (1990) Sonographic features of colovesical fistula. Journal of clinical ultrasound: JCU 18 (7):589-591

30.

Ing A, Lienert A, Frizelle F (2008) Medical image. CT colonography for colovesical fistula. The New Zealand medical journal 121 (1279):105-108

31.

Kavanagh D, Neary P, Dodd JD, Sheahan KM, O’Donoghue D, Hyland JM (2005) Diagnosis and treatment of enterovesical fistulae. Colorectal disease: the official journal of the Association of Coloproctology of Great Britain and Ireland 7 (3):286-291. https://doi.org/10.1111/j.1463-1318.2005.00786.x

32.

Koelbel G, Schmiedl U, Majer MC, Weber P, Jenss H, Kueper K, Hess CF (1989) Diagnosis of fistulae and sinus tracts in patients with Crohn disease: value of MR imaging. AJR American journal of roentgenology 152 (5):999-1003. https://doi.org/10.2214/ajr.152.5.999

33.

Ravichandran S, Ahmed HU, Matanhelia SS, Dobson M (2008) Is there a role for magnetic resonance imaging in diagnosing colovesical fistulas? Urology 72 (4):832-837. https://doi.org/10.1016/j.urology.2008.06.036

34.

Lee RA, Symmonds RE, Williams TJ (1988) Current status of genitourinary fistula. Obstetrics and gynecology 72 (3 Pt 1):313-319

35.

Little NA, Juma S, Raz S (1989) Vesicovaginal fistulae. Seminars in urology 7 (2):78-85

36.

Arrowsmith SD, Ruminjo J, Landry EG (2010) Current practices in treatment of female genital fistula: a cross sectional study. BMC pregnancy and childbirth 10:73. https://doi.org/10.1186/1471-2393-10-73

37.

Kayondo M, Wasswa S, Kabakyenga J, Mukiibi N, Senkungu J, Stenson A, Mukasa P (2011) Predictors and outcome of surgical repair of obstetric fistula at a regional referral hospital, Mbarara, western Uganda. BMC urology 11:23. https://doi.org/10.1186/1471-2490-11-23

38.

Graham JB (1965) Vaginal Fistulas Following Radiotherapy. Surgery, gynecology & obstetrics 120:1019-1030

39.

Gschwend JE, May F, Paiss T, Gottfried HW, Hautmann RE (1996) High-dose pelvic irradiation followed by ileal neobladder urinary diversion: complications and long-term results. British journal of urology 77 (5):680-683

40.

Bhattacharjee S, Kohli UA, Sood A, Tripathy S, Gupta M (2015) Vesicouterine fistula: Youssef’s syndrome. Medical journal, Armed Forces India 71 (Suppl 1):S175-177. https://doi.org/10.1016/j.mjafi.2013.11.006

41.

Shah SJ (2009) Laparoscopic transabdominal transvesical vesicovaginal fistula repair. Journal of endourology 23 (7):1135-1137. https://doi.org/10.1089/end.2009.0080

42.

Goodwin WE, Scardino PT (1980) Vesicovaginal and ureterovaginal fistulas: a summary of 25 years of experience. The Journal of urology 123 (3):370-374

43.

Yang JM, Su TH, Wang KG (1994) Transvaginal sonographic findings in vesicovaginal fistula. Journal of clinical ultrasound: JCU 22 (3):201-203

44.

Park OR, Kim TS, Kim HJ (2003) Sonographic diagnosis of vesicouterine fistula. Ultrasound in obstetrics & gynecology: the official journal of the International Society of Ultrasound in Obstetrics and Gynecology 22 (1):82-84. https://doi.org/10.1002/uog.161

45.

Volkmer BG, Kuefer R, Nesslauer T, Loeffler M, Gottfried HW (2000) Colour Doppler ultrasound in vesicovaginal fistulas. Ultrasound in medicine & biology 26 (5):771-775

46.

Kamanda MI (2016) MDCT cystography using vaginal tampon for imaging lower urogenital tract fistulas: two case reports. BJR|case reports 2 (2):20150288. https://doi.org/10.1259/bjrcr.20150288

47.

Murphy JM, Lee G, Sharma SD, Doble A, Lomas DJ (1999) Vesicouterine fistula: MRI diagnosis. European radiology 9 (9):1876-1878. https://doi.org/10.1007/s003300050939

48.

Kuhlman JE, Fishman EK (1990) CT evaluation of enterovaginal and vesicovaginal fistulas. Journal of computer assisted tomography 14 (3):390-394

49.

Squitieri AP, Ceccarelli FE (1977) Traumatic vesicourethral fistula: unusual case of male urinary incontinence. Urology 9 (5):553-555

50.

Raz S, Maggio AJ, Jr., Kaufman JJ (1979) Why Marshall-Marchetti operation works… or does not. Urology 14 (2):154-159

51.

Tancer ML (1986) Vesicouterine fistula–a review. Obstetrical & gynecological survey 41 (12):743-753

52.

Youssef AF (1957) Menouria following lower segment cesarean section; a syndrome. American journal of obstetrics and gynecology 73 (4):759-767

53.

Park BK, Kim SH, Cho JY, Sim JS, Seong CK (1999) Vesicouterine fistula after cesarean section: ultrasonographic findings in two cases. Journal of ultrasound in medicine: official journal of the American Institute of Ultrasound in Medicine 18 (6):441-443

54.

Majeed HG, Christensen HB, Rasmussen KL (2006) [Ultrasonically verified vesicouterine fistula]. Ugeskrift for laeger 168 (10):1037-1038

55.

Smayra T, Ghossain MA, Buy JN, Moukarzel M, Jacob D, Truc JB (2005) Vesicouterine fistulas: imaging findings in three cases. AJR American journal of roentgenology 184 (1):139-142. https://doi.org/10.2214/ajr.184.1.01840139

56.

Mercader VP, McGuckin JF, Jr., Caroline DF, Chatwani A, Seidmon EJ (1995) CT of vesicocorporeal fistula with menouria: a complication of uterine biopsy. Journal of computer assisted tomography 19 (2):324-326

57.

Kim SW, Lee JN, Kim HT, Yoo ES (2018) Management of a patient with vesicocutaneous fistula presenting 13 years after radiotherapy performed for cervical cancer. Turk J Urol 44 (2):185-188. https://doi.org/10.5152/tud.2017.35929

58.

Toufique H, Merani AJ (2011) Vesicocutaneous fistula. J Pak Med Assoc 61 (9):918-919

59.

Tatar B, Erdemoglu E, Soyupek S, Yalcin Y, Erdemoglu E (2016) Vesicocutaneus fistula after cesarean section-a curious complication: Case report and review. Turk J Obstet Gynecol 13 (1):46-49. https://doi.org/10.4274/tjod.71135

60.

Finkelstein LH, Weiner I (1982) Vesicocutaneous fistula: a case of spontaneous development ten years after radiation therapy. The Journal of the American Osteopathic Association 81 (5):329-330

61.

Hennessey DB, Bolton E, Thomas AZ, Lynch TH (2013) Vesicocutaneous fistula following adjuvant radiotherapy for prostate cancer. BMJ Case Rep 2013. https://doi.org/10.1136/bcr-2013-008986

62.

Ludolph I, Apel H, Horch RE, Beier JP (2014) Treatment of a chronic vesicocutaneous fistula and abdominal wall defect after resection of a soft tissue sarcoma using a bipedicled latissimus dorsi and serratus anterior free flap. Int J Urol 21 (11):1178-1180. https://doi.org/10.1111/iju.12545

63.

Deshmukh AS, Kropp KA (1974) Spontaneous vesicocutaneous fistula caused by actinomycosis: case report. J Urol 112 (2):192-194. https://doi.org/10.1016/s0022-5347(17)59681-0

64.

Horsnell JD, Kinder RB (2010) A vesicocutaneous fistula secondary to bladder calculi in a patient with spina bifida. J Surg Case Rep 2010 (6):4. https://doi.org/10.1093/jscr/2010.6.4

65.

MacDermott JP, Palmer JM, Stone AR (1990) Vesicocutaneous fistula secondary to bladder instability. Br J Urol 66 (4):430-431. https://doi.org/10.1111/j.1464-410x.1990.tb14968.x

66.

Serafin D, Dimond M, France R (1983) Factitious vesicocutaneous fistula: an enigma in diagnosis and treatment. Plast Reconstr Surg 72 (1):81-89

67.

McKay HA (1997) Vesicovaginal and vesicocutaneous fistulas: transurethral suture cystorrhaphy as a new closure technique. The Journal of urology 158 (4):1513-1516

68.

Kishore TA, Bhat S, John PR (2005) Vesicocutaneous fistula arising from a bladder diverticulum. Indian journal of medical sciences 59 (6):265-267

69.

Lau KO, Cheng C (1998) A case report–delayed vesicocutaneous fistula after radiation therapy for advanced vulvar cancer. Annals of the Academy of Medicine, Singapore 27 (5):705-706

70.

Cass AS, Luxenberg M (1987) Features of 164 bladder ruptures. J Urol 138 (4):743-745. https://doi.org/10.1016/s0022-5347(17)43358-1

71.

Morey AF (2005) Iatrogenic bladder perforations: longterm followup of 65 patients. J Urol 174 (4 Pt 1):1299. https://doi.org/10.1097/s0022-5347(01)68609-9

72.

Stojadinovic MM, Mitrovic S, Milovanovic DR (2012) Micropapillary carcinoma of the bladder presented with spontaneous intraperitoneal bladder rupture. Can Urol Assoc J 6 (2):E42-45. https://doi.org/10.5489/cuaj.10118

73.

Fouladi DF, Shayesteh S, Fishman EK, Chu LC (2019) Imaging of urinary bladder injury: the role of CT cystography. Emerg Radiol. https://doi.org/10.1007/s10140-019-01739-3

Title: Urinary bladder fistulae and the role of CT cystography: a pictorial review
Authors: Daniel F. Fouladi
Shahab Shayesteh
Elliot K. Fishman
Linda C. Chu
Publication date: 01-06-2020
Publisher: Springer US
Keywords: Computed Tomography
Computed Tomography
Cystography
Published in: Abdominal Radiology / Issue 6/2020
Print ISSN: 2366-004X
Electronic ISSN: 2366-0058
DOI: https://doi.org/10.1007/s00261-019-02376-7

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