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CHARLES W. MAYO, M.D.; JOSEPH M. MILLER, M.D.

Arch Surg. 1940;40(5):897-911.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The creation of a sigmoidovesical fistula by a process primary in either the sigmoid flexure of the colon or the urinary bladder is a serious complication which fortunately confronts the surgeon only infrequently. It engenders so poor a prognosis that the choice of treatment must be guided by great care, for the mortality resulting from surgical attack is extremely high. The pathologic entity responsible for the formation of such an abnormal channel is usually primary in the sigmoid and but rarely has its origin in the bladder. Occasionally an inflammatory process external to both sites may be the responsible agent. Parham and Hume,¹ Sutton² and Kellogg³ have each presented excellent classifications of the causes of sigmoidovesical fistula.

The frequency of communication between the sigmoid flexure of the colon and the urinary bladder as compared to other intestinovesical fistulas has gradually increased since the earlier reports. Pascal⁴ . . . [Full Text PDF of this Article]

Author Affiliations
Fellow in Surgery, the Mayo Foundation ROCHESTER, MINN.

From the Division of Surgery, the Mayo Clinic.

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