fistulae: aetiology, imaging, and management.
Urine analysis showed fecal content and increased number of bacteria accompanied with elevated WBC count in the urine sample, which suggested a possible enterovesical
stones or foreign bodies within the urinary tract, bladder cancer, enterovesical
In case 1, no pulmonary cause was detected but, intraoperative finding showed an enterovesical
3%) Cundiff & Bent, 1995 POD 3--abdominal distention and loss bowel sounds--SPT pierced muscularis of ileum Flock, Litvak, & Enterovesical
fistula can be defined as a fistulous connection between the bladder and the small or large bowel.
In non-diabetic patients with pneumaturia and recurrent UTIs, the suspicion of enterovesical
communication should be raised and investigated by CT, followed urgently by the institution of appropriate treatment.
Male and female patients, age 21 or older who were able to consent and available for follow-up with the following criteria were included in the study: CD diagnosed by standard clinical, endoscopic, radiological, and histological criteria; and fistulizing disease (enteroenteric, enterovesical
, rectovaginal, enterocutaneous, peristomal or perianal fistulae) present for at least three months prior to the beginning of the study with documented incomplete response to first line CD therapy and/ or history of adverse events to infliximab therapy.
Types of Fistulas From To Name Intestine Colon Enterocolonic Intestine Skin Enterocutaneous Intestine bladder Bladder Enterovesical
Intestine Vagina Enterovaginal Bladder Skin Vesicocutaneous Bladder Vagina Vesicovaginal Source: Toth, Hocevar, Landis-Erdman, 2003 Table 2 Skin-Protective Barriers, Ointments, Sealants, and Powders Protective Barriers Mode of Action Skin protective barriers/ointments Provides a protective layer to skin to minimize the risk of skin maceration from effluent.
Grade V Death of a patient Incarceration Enterovesical
Fistula Obstructive uropathy Urosepsis In the case where multiple instances of a single complication was reported, the complication may appear in more than 1 grade based on how the complication was managed as reported in the literature.
Goldstein I Wise GJ ,Trancer M L: A vesico-vaginal fistula and enterovesical
foreign body: A rare case of neglected pessary: Am J ObGy 1990
Two of 4 enterovesical
fistulae completely responded and 2 partially responded; 1 of 3 colocutaneous fistulae had a complete response and 2 did not respond (Table 3).