Acute diarrhea and metabolic acidosis caused by tuberculous vesico-rectal fistula.
Acquired vesico-rectal fistula is an uncommon complication of pelvic malignant tumors, surgical injury, inflammatory disorders such as tuberculosis infection, radiotherapy and less commonly diverticulum of the urinary tract. The fistula is often identified by urinary tract abnormalities such as dysuria, recurrent urinary tract infection, pneumaturia, and fecaluria. Here, we report an unusual case of a patient with a vesico-rectal fistula of tuberculous origin, presenting with severe acute diarrhea, metabolic acidosis, hyperchloremia and hypokalemia while with only mild urinary tract symptoms. The patient was cured by tuberculostatic therapy.
Xiu-Qing Wei, Zhi-E Wu, Kodjo-Kunale Abassa, Wei Mao, Jin Tao, Zhuo-Fu Wen, Bin Wu, Department of Gastroenterology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China.
Xiu-Qing
XQ
Wei
Xiu-Qing Wei, Zhi-E Wu, Kodjo-Kunale Abassa, Wei Mao, Jin Tao, Zhuo-Fu Wen, Bin Wu, Department of Gastroenterology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China.
Yan
Y
Zou
Xiu-Qing Wei, Zhi-E Wu, Kodjo-Kunale Abassa, Wei Mao, Jin Tao, Zhuo-Fu Wen, Bin Wu, Department of Gastroenterology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China.
Zhi-E
ZE
Wu
Xiu-Qing Wei, Zhi-E Wu, Kodjo-Kunale Abassa, Wei Mao, Jin Tao, Zhuo-Fu Wen, Bin Wu, Department of Gastroenterology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China.
Kodjo-Kunale
KK
Abassa
Xiu-Qing Wei, Zhi-E Wu, Kodjo-Kunale Abassa, Wei Mao, Jin Tao, Zhuo-Fu Wen, Bin Wu, Department of Gastroenterology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China.
Wei
W
Mao
Xiu-Qing Wei, Zhi-E Wu, Kodjo-Kunale Abassa, Wei Mao, Jin Tao, Zhuo-Fu Wen, Bin Wu, Department of Gastroenterology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China.
Jin
J
Tao
Xiu-Qing Wei, Zhi-E Wu, Kodjo-Kunale Abassa, Wei Mao, Jin Tao, Zhuo-Fu Wen, Bin Wu, Department of Gastroenterology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China.
Zhuang
Z
Kang
Xiu-Qing Wei, Zhi-E Wu, Kodjo-Kunale Abassa, Wei Mao, Jin Tao, Zhuo-Fu Wen, Bin Wu, Department of Gastroenterology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China.
Zhuo-Fu
ZF
Wen
Xiu-Qing Wei, Zhi-E Wu, Kodjo-Kunale Abassa, Wei Mao, Jin Tao, Zhuo-Fu Wen, Bin Wu, Department of Gastroenterology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China.
Bin
B
Wu
D000138:Acidosis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D000208:Acute Disease; D000328:Adult; D000930:Antidiarrheals / Q000627:therapeutic use; D000995:Antitubercular Agents / Q000627:therapeutic use; D002712:Chlorides / Q000097:blood; D003113:Colonoscopy; D003967:Diarrhea / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D007008:Hypokalemia / Q000175:diagnosis / Q000382:microbiology; D008096:Lithotripsy / Q000379:methods; D008297:Male; D012003:Rectal Fistula / Q000175:diagnosis / Q000382:microbiology*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014385:Tuberculosis, Gastrointestinal / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D018666:Ureteroscopy; D001747:Urinary Bladder Fistula / Q000175:diagnosis / Q000382:microbiology* / Q000601:surgery
D000930:Antidiarrheals; D000995:Antitubercular Agents; D002712:Chlorides
Acidosis; Diarrhea; Hyperchloremia; Hypokalemia; Tuberculous; Vesico-rectal fistula