Presentation
He presented 7 months after initiation of ART, which suggests that this presentation was an IRIS phenomenon. IRIS in HIV-infected patients initiating ART results from restored immunity to specific infectious or non-infectious antigens. [sajs.redbricklibrary.com]
In this review chapter, we cover the etiology, clinical presentation, and various surgical approaches to repairing vesicovaginal and enterovesical fistulas. [ucdavis.pure.elsevier.com]
Our aim is to present a case of enterovesical fistula following myomectomy. 2. [scirp.org]
We present a patient with electrical burns which resulted in loss of the right upper arm and a urinary bladder fistula. A jump flap was used to cover the repaired bladder, and also to cover the stump of the amputated right arm. [ncbi.nlm.nih.gov]
Most patients in the present series were male. [urotoday.com]
Entire Body System
- Recurrent Urinary Tract Infection
Presenting features include fecaluria, pneumaturia and recurrent urinary tract infection [5] [6] [7]. [scirp.org]
urinary tract infections, or passage of urine rectally 4. [radiopaedia.org]
The symptoms of the appendicovesical fistula resemble those of other enterovesical fistulae and include dysuria, recurrent urinary tract infection, pneumaturia, and fecaluria. Confirmation of the appendicular origin of such fistulae is difficult. [journals.lww.com]
Aggarwal, et al. (2011). “26-year-old man with recurrent urinary tract infections.” Mayo Clin Proc 86(6): 557-560. PubMed ; CrossRef Sou, S., T. Yao, et al. (1999). [urotoday.com]
- Asymptomatic
She remained asymptomatic and was considered cured. The clinical presentation of a vesico-uterine fistula would depend on whether it is located above or below the isthmus of the uterus. [jpgmonline.com]
Patients may be totally asymptomatic [6], as with 2 patients in our series. The fistula may be identified by cystography or intravenous urography [13,16]. The visualization of the fistula at cystography is not always easy to obtain [5]. [urotoday.com]
The patient remains asymptomatic with occasional pneumaturia. This is an uncommon complication of radical prostatectomy. Picture Type: Photo Abbas F, Memon A: Colovesical fistula: an unusual complication of prostatomegaly. [arabmedmag.com]
- Falling
Your steri-strips will fall off over a two-week period; please let them fall off on their own rather than removing them. You can trim the edges of the steri-strips that have rolled up onto themselves if they bother you. [flinturology.com]
Gastrointestinal
- Intestinal Disease
055396, *, 腸疾患, チョウシッカン, intestinal disease, 054586, 胃腸疾患, イチョウシッカン, gastrointestinal disease, 054588, 消化器疾患, ショウカキシッカン, digestive system disease, 012793, 病気, ビョウキ, disease, 017213, 大腸腫瘍, ダイチョウシュヨウ, colorectal neoplasm, 055544, 腸腫瘍, チョウシュヨウ, intestinal [togodb.biosciencedbc.jp]
Six patients underwent resection of the diseased intestinal segment with bladder repair, and a temporary stoma in 1 case. Conclusion: Enterovesical fistulae complicating Crohn disease is often clinically suspected preoperatively. [urotoday.com]
Urogenital
- Urinary Incontinence
Female Urinary Incontinence Male Urinary Incontinence Pelvic Organ Prolapse Urinary Tract Infection About our Incontinence Center Sexual Function & Infertility Epididymitis / Orchitis Erectile Dysfunction -Nonsurgical Management Erectile Dysfunction - [mciverclinic.com]
Urinary incontinence is a primary symptom of a bladder fistula, because the fistula's opening can leave you unable to control the flow of urine from the bladder. [sharecare.com]
A vesicovaginal fistula can lead to urinary incontinence and a rectovaginal fistula can lead to fecal incontinence. [search.com]
The classical Youssef's syndrome is characterized by menouria, absence of urinary incontinence, vesicouterine fistula and amenorrhoea despite a patent cervical canal. [ispub.com]
A vesicovaginal fistula can lead to urinary incontinence, and a rectovaginal fistula can lead to fecal incontinence. [urogyn.coloradowomenshealth.com]
- Foul Smelling Urine
The symptoms usually encountered are: chronic urinary tract infections, gas bubbles during urination, bowel movements with urine in them, feces in the urine, foul smelling urine and a host of irrative bladder symptoms. [flinturology.com]
Workup
The primary aim of a diagnostic workup is not to observe the fistular tract itself but to find the etiology of the disease so that an appropriate therapy can be initiated. [ncbi.nlm.nih.gov]
Discussion The diagnosis of an enterovesical fistula poses a significant challenge as there is no consensus on any clear gold standard for EVf workup. [omicsonline.org]
MRI may be useful in identifying deep perineal fistulae, but it is not generally used in the routine workup of colovesical fistulae. Diagnostic Procedures: Cystoscopy is an essential component of the diagnostic evaluation. [arabmedmag.com]
Treatment
Following the diagnosis of a fistula, the medical professional will decide the best plan of treatment based on its location, size, and condition. One treatment path may simply be controlling symptoms with a catheter. [nafc.org]
However, only a minority of fistulae subsides under this treatment [26]. Thus, surgery remains the treatment of choice [31]. [urotoday.com]
Despite different techniques have been proposed as yet there is still no standard treatment. [ncbi.nlm.nih.gov]
The second phase of treatment will vary from patient to patient depending on the precise nature of the fistula. [cedars-sinai.edu]
Prognosis
Treatment and prognosis Surgical resection of the fistula and abnormal segment of bowel is usually required for cure, although in the setting of malignancy this suggests advanced disease (T4) making surgery complex. [radiopaedia.org]
Early detection and treatment may significantly improve the prognosis of patients. [ncbi.nlm.nih.gov]
[…] underwent multistage repair. [69] In general, the overall outcome and prognosis are excellent in patients with non–radiation-induced or cancer-induced fistulae. [emedicine.medscape.com]
Etiology
In this review chapter, we cover the etiology, clinical presentation, and various surgical approaches to repairing vesicovaginal and enterovesical fistulas. [ucdavis.pure.elsevier.com]
Etiology: Ureterocolic fistula is the most common type of ureteroenteric fistula. Etiologies include colorectal malignancy, post pelvic surgery, radiation therapy and spontaneous fistulas. [ijcasereportsandimages.com]
English : BL blood CF cerebrospinal fluid CI chemically induced CL classification CO complications CN congenital DI diagnosis DG diagnostic imaging DH diet therapy DT drug therapy EC economics EM embryology EN enzymology EP epidemiology EH ethnology ET etiology [decs.bvs.br]
(See Etiology and Prognosis .) Fistulas were formerly associated with considerable mortality rates. [emedicine.medscape.com]
Conclusions Entero-vesical fistula is an uncommon complication of both malignant and benign processes and even a rare etiology must be considered, like in our case. [omicsonline.org]
Epidemiology
2006 Allowable Qualifiers English : BL blood CF cerebrospinal fluid CI chemically induced CL classification CO complications CN congenital DI diagnosis DG diagnostic imaging DH diet therapy DT drug therapy EC economics EM embryology EN enzymology EP epidemiology [decs.bvs.br]
Epidemiology and pathogenesis of diverticular disease. J Gastrointest Surg. 2008; 12 :1309–1311. [ PubMed ] 5. Song JH, Huh JG, Kim YS, Lee JH, Jang WC, Ok KS, et al. [ncbi.nlm.nih.gov]
Epidemiology Colovesical fistulae are the most common type of fistulous communication between the bowel and the urinary bladder. heT incidence in patients with diverticular disease approximately 2%. [knowledge.statpearls.com]
[…] to the suture line, resulting in the midportion of the graft eroding into adjacent bowel; conversely, primary aortoenteric fistulas almost always result from erosion of the aneurysmal or infected aorta into surrounding areas, most commonly the bowel Epidemiology [emedicine.medscape.com]
Pathophysiology
Pathophysiology An enterovesical fistula usually refers to a predisposing pathophysiologic process. Therefore, the pathophysiology depends on the predisposing cause or disease. [knowledge.statpearls.com]
Sleisenger & Fordtran's Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis/Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 28. Lentz GM, Krane M. Anal incontinence: diagnosis and management. [nlm.nih.gov]
Inflammatory pathophysiology Diverticulitis accounts for approximately 50-70% of vesicoenteric fistulae. Diverticular fistulae are almost entirely colovesical. [arabmedmag.com]
Such conditions may include: chronic steroid use smoking poorly controlled diabetes mellitus infection malignancy return to top Pathophysiology Fistulas often occur following injury to the vaginal tissue. [sharinginhealth.ca]
Pathophysiology and therapy of chronic radiation-induced injury to the colon. Dig Dis. 1998 Jul-Aug. 16 (4):253-61. [Medline]. Li Y, Ren JA, Wang GF, et al. [emedicine.medscape.com]
Prevention
Gynecologists should be skilled in the prevention and early detection of accidental bladder injuries during gynecologic surgery. [gbmedlaw.com]
Diverticulitis The Best and Worst Foods for Managing or Preventing Diverticulitis Eating a diet high in fiber can help prevent diverticulitis. But it’s important to avoid fiber if you have the condition. [everydayhealth.com]
In: SchaeferG, Graber EA (eds) Complications in obstetric and gynecologic surgery: prevention, diagnosis, and treatment. [link.springer.com]
He or she may tell you to use a certain soap to help prevent a surgical site infection. Your healthcare provider will tell you what medicines to take or not take on the day of your surgery. [drugs.com]