Vesicointestinal fistula
From Infogalactic: the planetary knowledge core
| Vesicointestinal fistula | |
|---|---|
| Classification and external resources | |
| Specialty | Lua error in Module:Wikidata at line 446: attempt to index field 'wikibase' (a nil value). |
| ICD-10 | N32.1 |
| ICD-9-CM | 596.1 |
| eMedicine | med/2867 article/442000 |
| Patient UK | Vesicointestinal fistula |
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
- ↑ Lua error in package.lua at line 80: module 'strict' not found.
- ↑ 1309016087 at GPnotebook
- ↑ DDB 11193
- ↑ Lua error in package.lua at line 80: module 'strict' not found.
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