RT Journal Article
SR Electronic
T1 Colovesical fistula in men with chronic urinary tract infection: A diagnostic challenge
JF Cleveland Clinic Journal of Medicine
JO Cleve Clin J Med
FD Cleveland Clinic
SP 165
OP 171
DO 10.3949/ccjm.90a.21060
VO 90
IS 3
A1 Xu, Risheng
A1 Vaughan, Austin
A1 Fagan, Mitchell
A1 Schumacher, Dylan P.
A1 Wekullo, Verra
A1 Gehrke, Bruce
YR 2023
UL http://www.ccjm.org/content/90/3/165.abstract
AB Although uncommon, colovesical fistula creates significant morbidity, and many patients wait months to receive a correct diagnosis and treatment. Most cases are in older men who have diverticular disease, Crohn disease, cancer, or iatrogenic injury, and some of these associations may have occurred in the patient’s distant past and may not be immediately apparent. Since the incidence of diverticulitis in elderly patients is increasing and, in a separate trend, more patients are undergoing bladder instrumentation, we need to suspect this diagnosis when evaluating any patient with urinary tract infection, especially a man with prolonged symptoms refractory to conventional treatments.