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colovaginal
The types of fistulas included colovesical (48%), colovaginal (44%), colocutaneous (4%), colotubal (2%), and coloenteric (2%).
      
Sixty-five percent (60 of 92) of fistulas were colovesical, 25 percent (23 of 92) colovaginal, 6.5 percent (6 of 92) coloenteric, and 3 percent (3 of 92) colouterine fistulas.
      
Hysterectomies had been performed in 50 percent (12 of 24) and 83 percent (19 of 23) of females with colovesical and colovaginal fistulas, respectively.
      
Tandem colovaginoscopy in the diagnosis of colovaginal fistula
      
The diagnosis of colovaginal fistula with the traditional methods of contrast enema, sigmoidoscopy, and vaginal speculum examination can be problematic.
      
Precise identification of the pathologic anatomy underlying the colovaginal fistula can be obtained by simultaneous flexible fiberoptic vaginoscopy and colonoscopy
      
Vaginography: An easy and safe technique for diagnosis of colovaginal fistulas
      
Colovaginal fistulas are often difficult to demonstrate.
      
Colovaginal fistula secondary to diverticular disease
      
Colovaginal fistula is infrequently encountered in gynecologic practice, but, when it does occur, diverticular disease is the most common cause.
      
This paper discusses current concepts in etiology, diagnosis, and treatment of patients with colovaginal fistula secondary to diverticular disease.
      
Although most leakages remain clinically silent, some may lead to formation of a colovaginal fistula.
      
At the Lahey Clinic Medical Center, the records of nine patients with colovaginal fistula as a complication of colorectal surgery were reviewed to determine clinical characteristics and optimal management.
      
These results suggest that previous hysterectomy predisposes to development of a colovaginal fistula after colorectal surgery.
      
RESULTS: Assistance of the left hand, introduced through the dexterity? device proved to be extremely helpful in identifying the plane of dissection in one patient with a large diverticular mass and in another with a colovaginal fistula.
      
We report a case of a patient with portal hypertension secondary to alcoholic cirrhosis (Child's Class C) who initially presented with a colovaginal fistula secondary to acute sigmoid diverticulitis.
      
 

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