Vesicointestinal fistula

Vesicointestinal fistula
Classification and external resources
Specialty	urology
ICD-10	N32.1
ICD-9-CM	596.1
eMedicine	med/2867 article/442000

A vesicointestinal fistula (or intestinovesical fistula) is a form of fistula between the bladder and the bowel.

Types

A fistula involving the bladder can have one of many specific names, describing the specific location of its outlet:

Bladder and intestine: "vesicoenteric", "enterovesical", or "vesicointestinal"^[1]^[2]^[3]
Bladder and colon: "vesicocolic" or "colovesical"^[4]
Bladder and rectum: "vesicorectal" or "rectovesical"^[5]

Many causes exist including:^[6]

If fecal matter passes through the fistula into the bladder, the existence of the fistula may be revealed by pneumaturia or fecaluria.

Various modalities of diagnosis are available:

A definite algorithm of tests is followed for making the diagnosis.^[9]

↑ Merck Geriatrics 14-118f
↑ 11-149c. at Merck Manual of Diagnosis and Therapy Home Edition
↑ "Fistula enterovesical". Medcyclopaedia. GE.
↑ 1309016087 at GPnotebook
↑ DDB 11193
↑ Weerakkody, Yuranga; Gaillard, Frank. "Colovesical Fistula". Radiopaedia.org. Retrieved 13 September 2014.
↑ Kwon, EO; Armenakas, NA; Scharf, SC; Panagopoulos, G; Fracchia, JA (Apr 2008). "The poppy seed test for colovesical fistula: big bang, little bucks!". The Journal of Urology. 179 (4): 1425–7. doi:10.1016/j.juro.2007.11.085. PMID 18289575.
↑ Amendola, MA; Agha, FP; Dent, TL; Amendola, BE; Shirazi, KK (Apr 1984). "Detection of occult colovesical fistula by the Bourne test.". AJR. American journal of roentgenology. 142 (4): 715–8. doi:10.2214/ajr.142.4.715. PMID 6608228.
↑ Golabek, Tomasz; Szymanska, Anna; Szopinski, Tomasz; Bukowczan, Jakub; Furmanek, Mariusz; Powroznik, Jan; Chlosta, Piotr (2013). "Enterovesical Fistulae: Aetiology, Imaging, and Management". Gastroenterology Research and Practice. 2013: 1–8. doi:10.1155/2013/617967Fig.1

Primarily
nephrotic

Non-proliferative	Minimal change Focal segmental Membranous

Proliferative	Mesangial proliferative Endocapillary proliferative Membranoproliferative/mesangiocapillary

By condition	Diabetic Amyloidosis

Primarily
nephritic,
RPG

Type I RPG/Type II hypersensitivity	Goodpasture's syndrome

Type II RPG/Type III hypersensitivity	Post-streptococcal Lupus DPGN IgA/Berger's

Type III RPG/Pauci-immune	Granulomatosis with polyangiitis Microscopic polyangiitis Eosinophilic granulomatosis with polyangiitis

General

General

General syndromes	Nephritis Nephrosis) Renal failure Acute renal failure Chronic kidney disease Uremic pericarditis Uremia Diabetes insipidus Nephrogenic Renal papilla Renal papillary necrosis Major calyx/pelvis Hydronephrosis Pyonephrosis Reflux nephropathy

Vascular	Renal artery stenosis Renal ischemia Hypertensive nephropathy Renovascular hypertension Renal cortical necrosis

Other	Analgesic nephropathy Renal osteodystrophy Nephroptosis Abderhalden–Kaufmann–Lignac syndrome

Ureter	Ureteritis Ureterocele Megaureter

Bladder	Cystitis Interstitial cystitis Hunner's ulcer Trigonitis Hemorrhagic cystitis Neurogenic bladder dysfunction Bladder sphincter dyssynergia Vesicointestinal fistula Vesicoureteral reflux

Urethra	Urethritis Non-gonococcal urethritis Urethral syndrome Urethral stricture/Meatal stenosis Urethral caruncle

Any/all	Obstructive uropathy Urinary tract infection Retroperitoneal fibrosis Urolithiasis Bladder stone Kidney stone Renal colic Malakoplakia Urinary incontinence Stress Urge Overflow

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