Vesicointestinal fistula
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| Vesicointestinal fistula | |
|---|---|
| Other names | Intestinovesical fistula |
| Specialty | Urology  |
A vesicointestinal fistula (or intestinovesical fistula) is a form of fistula between the bladder and the bowel.
Types
A fistula involving the bladder can have one of many specific names, describing the specific location of its outlet:
- Bladder and intestine: "vesicoenteric", "enterovesical", or "vesicointestinal"[1][2][3]
- Bladder and colon: "vesicocolic" or "colovesical"[4]
- Bladder and rectum: "vesicorectal" or "rectovesical"[5]
Symptoms and signs
If fecal matter passes through the fistula into the bladder, the existence of the fistula may be revealed by pneumaturia, fecaluria, or recurrent urinary tract infection. Migration of urine through the fistula into the bowel may cause rectal passage of urine.[6]
Causes
Many causes exist including:[6]
- diverticulitis : most common ~ 60%
- colorectal cancer (CRC) : ~ 20%
- Crohn's disease : ~ 10%
- radiotherapy
- appendicitis
- trauma
Diagnosis
Various modalities of diagnosis are available:[7]
- Cystoscopy
- Colonoscopy
- Poppy seed test[8]
- Transabdominal ultrasonography
- Abdominopelvic CT
- MRI
- Barium enema
- Bourne test[9]
- Cystogram
A definite algorithm of tests is followed for making the diagnosis.
See also
References
- ^ Merck Geriatrics 14-118f
- ^ 11-149c. at Merck Manual of Diagnosis and Therapy Home Edition
- ^ "Fistula enterovesical". Medcyclopaedia. GE. Archived from the original on 2012-02-04.
- ^ "vesicocolic fistula". GPnotebook.
- ^ Diseases Database (DDB): 11193
- ^ a b Weerakkody, Yuranga; Gaillard, Frank. "Colovesical Fistula". Radiopaedia.org. Retrieved 13 September 2014.
- ^ Golabek, Tomasz; Szymanska, Anna; Szopinski, Tomasz; Bukowczan, Jakub; Furmanek, Mariusz; Powroznik, Jan; Chlosta, Piotr (2013). "Enterovesical Fistulae: Aetiology, Imaging, and Management". Gastroenterology Research and Practice. 2013: 1–8. doi:10.1155/2013/617967. PMC 3857900. PMID 24348538Fig.1
{{cite journal}}: CS1 maint: postscript (link) - ^ Kwon, EO; Armenakas, NA; Scharf, SC; Panagopoulos, G; Fracchia, JA (Apr 2008). "The poppy seed test for colovesical fistula: big bang, little bucks!". The Journal of Urology. 179 (4): 1425–7. doi:10.1016/j.juro.2007.11.085. PMID 18289575.
- ^ Amendola, MA; Agha, FP; Dent, TL; Amendola, BE; Shirazi, KK (Apr 1984). "Detection of occult colovesical fistula by the Bourne test". AJR. American Journal of Roentgenology. 142 (4): 715–8. doi:10.2214/ajr.142.4.715. PMID 6608228.
External links
Media related to Vesicointestinal fistula at Wikimedia Commons
