Journal of Surgery

Adrian Chiujdea

Publications

• Case Report
  Theoretical and Practical Considerations in Colo-Rectal Diverticulosis Complicated with Multiple Sigmoido-Recto-Vesical Fistulas
  Author(s): Călin Molnar, Ciprian Silaghi, Adrian Chiujdea, Ecaterina Daniela Dobru, Ciprian Rosca, Cosmin Nicolescu, Victor Iosif Neagoe, Vlad Olimpiu Butiurca, Claudiu Varlam Molnar and Constantin CopotoiuCălin Molnar, Ciprian Silaghi, Adrian Chiujdea, Ecaterina Daniela Dobru, Ciprian Rosca, Cosmin Nicolescu, Victor Iosif Neagoe, Vlad Olimpiu Butiurca, Claudiu Varlam Molnar and Constantin Copotoiu
  
  Although there is a complete anatomical separation between urinary and digestive tract, in certain pathological conditions, the direct proximity between the bladder and the sigmoid colon allows the development of entero-vesical fistulas. Colic diverticulosis is the second leading cause of entero-vesical fistulas, after malignancy. Usually, the enterovesical fistula is unique, on a single bowel segment; rarely is multiple, involving different intestinal segments. We present the case of a 41 years old man, with a double fistula: sigmoido-vesical and recto-vesical, respectively. The diagnosis was challenging despite the clinical aspect included pneumaturia and fecaluria. A particular symptom was sexual dysfunction. CT scan and a pelvic MRI revealed the two fistula colo-vesical and recto-vesical. A recto-sigmoid resection with subperitoneal colo-rectal anastom.. Read More»
  

  Abstract PDF