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Vesicointestinal fistula

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Vesicointestinal fistula

Vesicointestinal fistula
Classification and external resources
ICD-10 N32.1
ICD-9-CM 596.1
eMedicine med/2867 article/442000

A vesicointestinal fistula (or intestinovesical fistula) is a form of fistula between the bladder and the bowel.

Contents

  • Types 1
  • Causes 2
  • Symptoms/signs 3
  • Diagnosis 4
  • See also 5
  • References 6

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]

Causes

Many causes exist including:[6]

  • diverticulitis : most common ~ 60%
  • colorectal cancer (CRC) : ~ 20%
  • Crohn's disease : ~ 10%
  • radiotherapy
  • appendicitis
  • trauma

Symptoms/signs

If fecal matter passes through the fistula into the bladder, the existence of the fistula may be revealed by pneumaturia or fecaluria.

Diagnosis

Various modalities of diagnosis are available:

A definite algorithm of tests is followed for making the diagnosis.[9]

See also

References

  1. ^ Merck Geriatrics 14-118f
  2. ^ 11-149c. at Merck Manual of Diagnosis and Therapy Home Edition
  3. ^ "Fistula enterovesical". Medcyclopaedia.  
  4. ^ 1309016087 at GPnotebook
  5. ^ DDB 11193
  6. ^ Weerakkody, Yuranga; Gaillard, Frank. "Colovesical Fistula". Radiopaedia.org. Retrieved 13 September 2014. 
  7. ^ 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.  
  8. ^ 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.  
  9. ^ 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.  


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