Vesicointestinal fistula
| Vesicointestinal fistula | |
|---|---|
| Synonyms | Enterovesical fistula |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Pneumaturia, fecaluria, recurrent urinary tract infections |
| Complications | Sepsis, kidney damage |
| Onset | Variable, often gradual |
| Duration | Chronic unless treated |
| Types | N/A |
| Causes | Diverticulitis, Crohn's disease, colorectal cancer, radiation therapy, surgical complications |
| Risks | Inflammatory bowel disease, pelvic surgery, radiation therapy |
| Diagnosis | CT scan, cystoscopy, barium enema, colonoscopy |
| Differential diagnosis | Colovesical fistula, urinary tract infection, bladder cancer |
| Prevention | N/A |
| Treatment | Surgical repair, antibiotics |
| Medication | N/A |
| Prognosis | Good with treatment, but depends on underlying cause |
| Frequency | Rare |
| Deaths | N/A |
Vesicointestinal fistula is a rare medical condition that involves an abnormal connection (fistula) between the bladder (vesico) and the intestine. This condition can lead to urinary tract infections and other complications.
Causes
The most common cause of vesicointestinal fistula is diverticulitis, a condition that causes inflammation and infection in the diverticula, small pouches that can form in the digestive system. Other causes can include Crohn's disease, cancer, radiation therapy, and trauma.
Symptoms
Symptoms of vesicointestinal fistula can include frequent urinary tract infections, air or stool in the urine, abdominal pain, and weight loss.
Diagnosis
Diagnosis of vesicointestinal fistula can be challenging due to the rarity of the condition and the nonspecific nature of the symptoms. Diagnostic tests can include urine culture, computed tomography (CT) scan, and cystoscopy.
Treatment
Treatment of vesicointestinal fistula typically involves surgery to repair the fistula. Antibiotics may also be used to treat any associated infections.
See also
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