[Enterovesical fistula in diverticulitis].
Three men aged 52, 60, and 38 years, complained of dysuria and recurrent cystitis. One patient mentioned pneumaturia, a feature which later appeared to be present in all three. Ultrasound examination showed air in the bladder, and demonstrated the fistulous tract in two cases. Computed tomography identified the third fistula. In all 3 the enterovesical fistula was a complication of sigmoid diverticulitis. After sigmoid resection they recovered well. The key to the diagnosis of enterovesical fistula is to think of it. Pneumaturia and faecaluria are pathognomonic symptoms. Both ultrasound and computed tomography may be helpful in the diagnosis.
van Breda Vriesman
A C
AC
Afd. Radiologie, Westeinde Ziekenhuis, Den Haag.
de Rooij
T P
TP
Ulrich
C
C
Puylaert
J B
JB
D000328:Adult; D012809:Colon, Sigmoid / Q000601:surgery; D003937:Diagnosis, Differential; D004239:Diverticulitis, Colonic / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D012810:Sigmoid Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D001747:Urinary Bladder Fistula / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D014552:Urinary Tract Infections / Q000175:diagnosis / Q000209:etiology