Enterovesicle Fistula

From Anvita Health Wiki

Contents 1 More Specific Terms 2 Introduction 3 Etiology 4 Clinical-manifestations 5 Laboratory 6 Radiology 7 Management 8 More General Terms 9 References

More Specific Terms

• colovesicle (vesicocolic) fistula
• rectovesicle (vesicorectal) fistula

Introduction

• fistula between the urinary bladder & the intestine

Etiology

• incomplete separation of the intestines & the bladder during embryonic development (failure of urorectal septum to divide the common cloaca)
• infection

• coccidioidomycosis
• pelvic actinomycosis

• inflammatory conditions

• diverticulitis
• Crohn's disease

• cancer

• transitional cell carcinoma of the bladder
• colorectal carcinoma

• trauma or foreign body
• iatrogenic causes (presenting either postoperatively or as a treatment complication)

Clinical-manifestations

• suprapubic pain
• dysuria
• symptoms associated with chronic urinary tract infection
• pneumaturia
• fecaluria
• malodrous urine

Laboratory

• urinalysis

• pyruia
• bacteriuria
• debris

• chemistry 7 panel is typically normal
• complete blood count ( CBC)

• leukocytosis may associated with urinary tract infection
• anemia of chronic disease

Radiology

• abdominal computed tomography ( CT)
• magnetic resonance imaging is more expensive

Management

• surgical correction

More General Terms

• fistula
• urologic disease

References

1. Basler J eMedicine (Medscape): Enterovesical Fistula [1]

enterovesicle fistula