Enterovesical fistula. Apropos of a case

Authors

  • Freddy Castillo Guerra Hospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa Clara, Cuba
  • Roberto Fernández González Hospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa Clara, Cuba
  • Jorge Cándido Monzón Rey Hospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa Clara, Cuba

Keywords:

urinary bladder fistula/diagnosis, intestinal fistula/surgery

Abstract

The enterovesical fistula is the communication between the bladder and the bowel. The leakage of fecal matter and gas in the urinary tract are characteristic signs of this abnormal communication, easily detectable by the patient. The intestinal segments that most frequently communicate with the bladder are the rectum, colon, sigmoid colon and terminal ileum. A 58-year-old patient with a history of developing bilateral renal cysts and hypertension is presented. He began with repeated episodes of urinary sepsis and reported that he was urinating feces and gases through the urine. Interestingly, the patient had undergone an endoscopic ureterolithectomy a year ago. He was diagnosed a perforated diverticulum of bladder after multiple complementary examinations. He underwent surgery (bowel resection and termino-terminal anastomosis with partial cystectomy) and evolved favorably.

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Author Biographies

Freddy Castillo Guerra, Hospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa Clara, Cuba

Especialista de I Grado en Urología. Máster en Longevidad Satisfactoria. Profesor Instructor de la Universidad de Ciencias Médicas de Villa Clara “Dr. Serafín Ruiz de Zárate Ruiz”.

Roberto Fernández González, Hospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa Clara, Cuba

Especialista de I y II Grado en Coloproctología. Máster en Longevidad Satisfactoria. Profesor Asistente de la Universidad de Ciencias Médicas de Villa Clara “Dr. Serafín Ruiz de Zárate Ruiz”.

Jorge Cándido Monzón Rey, Hospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa Clara, Cuba

Especialista de I Grado en Urología. Profesor Instructor de la Universidad de Ciencias Médicas de Villa Clara “Dr.  Serafín Ruiz de Zárate Ruiz”.

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How to Cite

1.
Castillo Guerra F, Fernández González R, Monzón Rey JC. Enterovesical fistula. Apropos of a case. Acta Méd Centro [Internet]. 2011 Jul. 1 [cited 2025 Jun. 29];5(3):66. Available from: https://revactamedicacentro.sld.cu/index.php/amc/article/view/628

Issue

Vol. 5 No. 3 (2011): July-Septembre. Special Issue of Hospital Scientifics Event

Section

Abstracts

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