Table 2.
Case number | Diagnostic findings indicative of enterovesical fistula | Cystoscopy | Colonoscopy | |||
---|---|---|---|---|---|---|
Fistulous tract visualized | Air in bladder | Bladder and/or bowel-wall thickening | Extravesical mass that often contained air | |||
1 (Figure 1) | N | Y | Y | Y | A hemispherical uplift, the centre of which showed mucosal oedema with altered follicles, on the right rear aspect of the bladder wall | Multiple diverticula in the colon |
2 (Figure 2) | Y | N | Y | Y | A mass in the bladder with white stones within it (size, 2.5 × 1.5 cm). On the right aspect of the wall was a fistula (diameter, ~1 cm) that was associated with pus and yellow floccules. The fistula bifurcated ~2 cm distally | When the colonoscope was 5 cm from the ileal valve, we injected methylene blue dye into the bladder. The blue liquid was seen to flow out from the appendix |
3 (Figure 3) | N | Y | Y | N | A “strawberry-like” tumour (size, 0.3 cm) on the left aspect of the posterior wall of the bladder, surrounded by mucosal folds. Crystallization and precipitation were seen on the fundus of the bladder. | Multiple diverticula in the sigmoid colon (size, 0.2 × 0.2 cm) |
4 (Figure 4) | N | N | Y | Y | A substantial mass that appeared to be a tumour (size, 4 × 4 cm) had several floccules adhering to it. | The distance from the circular tumour to the anal margin was 20 cm |
Y, yes; N, no.