Girish Mahajan (Editor)

Vesicointestinal fistula

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Specialty
  
urology

ICD-9-CM
  
596.1

ICD-10
  
N32.1

eMedicine
  
med/2867 article/442000

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

Contents

Types

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"
  • Bladder and colon: "vesicocolic" or "colovesical"
  • Bladder and rectum: "vesicorectal" or "rectovesical"

    • Causes

    Many causes exist including:

  • 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
  • Transabdominal ultrasonography
  • Abdominopelvic CT
  • MRI
  • Barium enema
  • Bourne test
  • Cystogram

    • A definite algorithm of tests is followed for making the diagnosis.

    References

    Vesicointestinal fistula Wikipedia
    (Text) CC BY-SA