A colovesical fistula (CVF) is an abnormal connection between the colon and urinary bladder. Although they are uncommon, CVFs can cause significant morbidity, affect quality of life, and may lead to death, usually secondary to urosepsis [1,2].
Q52. 2 - Congenital rectovaginal fistula | ICD-10-CM.
Colovesical fistula is a rare condition that occurs when there's a connection between the colon and the bladder, allowing fecal matter to enter the bladder. Treatment generally involves surgery. WakeMed's team of colorectal surgeons are experienced with treating this uncommon and painful condition.
ICD-10 code K63. 2 for Fistula of intestine is a medical classification as listed by WHO under the range - Diseases of the digestive system .
Fissure and fistula of anal and rectal regions ICD-10-CM K60. 4 is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):
CPT® 57305 in section: Closure of rectovaginal fistula.
The first and best test is a CT scan with oral or rectal contrast without IV contrast (greater than 90% accurate) [1]. This will show contrast or air in the bladder with colonic and vesicular wall thickening. It may not show the actual fistula tract but accurately predicts the location.
Colovesical fistulae can almost always be treated with resection of the involved segment of colon and primary reanastomosis. Fistulae due to inflammation are generally managed with resection of the primarily affected diseased segment of intestine, with repair of the bladder only when large visible defects are present.
The standard treatment of colovesical fistula is removal of the fistula, suture of the bladder wall, and colic resection with or without temporary colostomy. The usual approach is open because the laparoscopic one has high conversion rates and morbidity.
M25. 18 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM M25.
A gastrointestinal fistula is an abnormal opening in the stomach or intestines that allows the contents to leak. Leaks that go through to a part of the intestines are called entero-enteral fistulas. Leaks that go through to the skin are called enterocutaneous fistulas.
A fistula is an abnormal, tubelike connection between two structures inside the body. When the connection is between the aorta and a loop of bowel that is near the aorta it is known as an aortoenteric fistula (AEF).