Vesicointestinal fistula
| Vesicointestinal fistula | |
|---|---|
| Classification and external resources | |
| Specialty | urology |
| 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.
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
- ↑ Merck Geriatrics 14-118f
- ↑ 11-149c. at Merck Manual of Diagnosis and Therapy Home Edition
- ↑ "Fistula enterovesical". Medcyclopaedia. GE. Archived from the original on 2012-02-05.
- ↑ 1309016087 at GPnotebook
- ↑ 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
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