Non-visible colovesical fistula located by cystoscopy and successfully managed with the novel Padlock.sup.® device for endoscopic closure

• Published in: International journal of colorectal disease Vol. 33; no. 6; p. 827
• Main Authors: Velayos, Benito, Del Olmo, L, Merino, L, Valsero, M, González, J. M
• Format: Journal Article
• Language: English
• Published: Springer 01-06-2018
• Subjects: Cystoscopy; Fistula; Methylene blue; Technology application
• ISSN: 0179-1958
• DOI: 10.1007/s00384-018-3008-8

Introduction The development of novel mechanical endoscopic closure systems allows now the management of some gastrointestinal fistula types in a minimally invasive way. However, the correct location of the fistulous tract is essential to achieve successful endoscopic closure. Case report A 69-year-old woman with high risk for surgery presented with recurrent cystitis, pneumaturia, and enteruria 2 months after medical-treated diverticulitis. Computerized tomography demonstrated colovesical fistula but colonoscopy could not locate the fistulous opening. A cystoscopy was performed and the fistulous tract was shown using a guidewire. Then, a novel over-the-scope clip device Padlock.sup.® system was released in the sigmoid colon, with successful endoscopic closure through this not previously described collaborative approach between urologists, surgeons, and gastroenterologists.