TY - JOUR AB - Colon cancer with colovesical fistula (CVF) is a rare complication of colon cancer that possesses an extremely poor prognosis. Surgical treatment can improve the prognosis. The current study presents four cases of CVF, in which the first two cases were treated conservatively and the other two were treated surgically. The first case presented with intestinal obstruction for 3 days, and computed tomography (CT) was performed. The patient refused surgery and still exhibited lower abdominal pain 11 months later. The second case presented with urinary frequency and urgency that lasted for 2 days, and CT was performed. The patient refused surgery and died 2 months later. The third case presented with fecaluria that lasted for 1 month, and CT, endoscopy and one‑stage palliative surgery were performed. The patient was lost to follow‑up 5 months later. The fourth case presented with acute urinary tract symptoms for 4 months, and CT, endoscopy and one‑stage radical surgery were performed. The patient remained disease‑free 10 months later. The four cases reported in the present study not only represent excellent examples of the disease spectrum, but also act as a reminder of the possibility of detecting CVF at an early stage of the disease. The present study discusses the epidemiology of CVF, and presents the pattern of CVF in terms of signs, symptoms and imaging examinations, including CT, cystoscopy and colonoscopy, as well as treatment in the early stage of the disease. AD - Department of Urology, Affiliated Hospital of Yangzhou University, Yangzhou University, Yangzhou, Jiangsu 225000, P.R. China Department of General Surgery, Affiliated Hospital of Yangzhou University, Yangzhou University, Yangzhou, Jiangsu 225000, P.R. China Department of Urology, First Hospital of China Medical University, Shenyang, Liaoning 110001, P.R. China Department of General Surgery, Affiliated Hospital of Yangzhou University, Yangzhou University, Yangzhou, Jiangsu 225000, P.R. China AU - Dong,Changming AU - Pan,Xiang AU - Wei,Lifu AU - Man,Xiaojun AU - Zhou,Zhengxi AU - Huang,Yanping AU - Wang,Xiaoxiang AU - Qi,Lezhong AU - Xue,Feng AU - Li,Yifan DA - 2023/04/01 DO - 10.3892/ol.2023.13744 IS - 4 JO - Oncol Lett KW - colovesical fistula enterovesical fistula colon cancer vesical fistula ureteral fistula PY - 2023 SN - 1792-1074 1792-1082 SP - 158 ST - Colon cancer with colovesical fistula:
A report of four cases and a literature review T2 - Oncology Letters TI - Colon cancer with colovesical fistula:
A report of four cases and a literature review UR - https://doi.org/10.3892/ol.2023.13744 VL - 25 ER -