Vesicointestinal fistula
| Vesicointestinal 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]
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:
- Cystoscopy
- Colonoscopy
- Poppy seed test[7]
- Transabdominal ultrasonography
- Abdominopelvic CT
- MRI
- Barium enema
- Bourne test[8]
- Cystogram
A definite algorithm of tests is followed for making the diagnosis.[9]
See also
References
- ^ Template:MerckGeriatrics
- ^ 11-149c. at Merck Manual of Diagnosis and Therapy Home Edition
- ^ "Fistula enterovesical". Medcyclopaedia. GE. Archived from the original on 2012-02-05.
- ^ . GPnotebook https://www.gpnotebook.co.uk/simplepage.cfm?ID=1309016087.
{{cite web}}: Missing or empty|title=(help) - ^ Diseases Database (DDB): 11193
- ^ Weerakkody, Yuranga; Gaillard, Frank. "Colovesical Fistula". Radiopaedia.org. Retrieved 13 September 2014.
- ^ 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.
- ^ 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:10.1155/2013/617967Fig.1
{{cite journal}}: CS1 maint: postscript (link) CS1 maint: unflagged free DOI (link)
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