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StatPearls, LLC

  • Acute Kidney Injury
  • Endometriosis
  • Enteritis
  • Fistula
  • Intestinal Fistula

Colovesical and Other Enterovesical Fistulas

Enterovesical fistulas represent abnormal connections between the gastrointestinal tract and the urinary bladder, most commonly manifesting as colovesical fistulas. This course reviews the clinical features of colovesical and other enterovesical fistulas, which typically present with pneumaturia, fecaluria, recurrent urinary tract infections, and, in severe cases, urosepsis or acute renal failure. The sigmoid colon is most frequently involved due to its proximity to the bladder and association with diverticular disease, which accounts for approximately 88% of cases. Other etiologies are also discussed, including malignancy, Crohn s disease, radiation enteritis, iatrogenic injury, infections, and rare conditions such as endometriosis or ischemic enteritis. This course explores the diagnostic evaluation of colovesical and other enterovesical fistulas involving laboratory studies, imaging modalities, endoscopic evaluation, and noninvasive tests such as the poppy seed test, as well as management strategies that range from conservative therapy for select patients to endoscopic and surgical interventions tailored to fistula complexity, underlying pathology, and patient comorbidities. Participants will also gain an understanding of perioperative management to minimize morbidity and recurrence. This activity for healthcare professionals is designed to enhance the learner’s competence in identifying the etiology and presentations of enterovesical fistulas, applying evidence-based diagnostic strategies, and implementing an appropriate interprofessional approach to manage this condition to optimize patient outcomes.

Credit & MOC Details

Credit information is provided by the course provider. We recommend confirming credit eligibility with the provider or your licensing board before starting the activity.

Credit types

IPCE CreditsUp to 2 creditsAAPA Category 1 Credit™Up to 2 creditsAMA PRA Category 1 Credit™Up to 2 creditsNursingUp to 2 creditsPharmacyUp to 2 credits

MOC types

ABS — Accredited CMEUp to 2 pointsABPATH — Lifelong LearningUp to 2 pointsABA — Lifelong LearningUp to 2 pointsABTS — Accredited CMEUp to 2 pointsABIM — Medical KnowledgeUp to 2 pointsABS — Self-AssessmentUp to 2 pointsABP — Lifelong Learning and Self-AssessmentUp to 2 pointsABTS — Self-AssessmentUp to 2 points

FDA REMS

No

Qualifies for MIPS

No

Target Specialties

Cross-Specialty

Relevant across 14 specialties.

Pricing

Fee varies

This provider typically $49–98

See fees on statpearls.com

Listed by the provider

  • Article / monograph / reference
  • Credit · Up to 2 credits
  • MOC · Up to 2 points
  • Fee varies · this provider typically $49–98
  • Released
    Sep 1, 2026
  • Last day to claim credit
    Sep 1, 2029 3 years left

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