Entero-Vesical Fistula Revealed by Recurrent Urinary Tract Infection

ISSN: 2168-9857

Medical & Surgical Urology

  • Clinical Image   
  • Med Surg Urol 2017, Vol 7(2): i103
  • DOI: 10.4172/2168-9857.1000i103

Entero-Vesical Fistula Revealed by Recurrent Urinary Tract Infection

Youness Jabbour1,2*, Youssef Lamzaf1,2, Tarik Karmouni1,2, Khalid El Khader1,2, Abdellatif Koutani1,2 and Ahmed Iben Attya Andaloussi1,2
1Urology B Department, Ibn Sina Teaching Hospital, Rabat, Morocco
2Faculty of Medicine and Pharmacy, Mohammed v university, Rabat, Morocco
*Corresponding Author: Youness Jabbour, Resident at Urology B Department, Ibn Sina Teaching Hospital, Rabat, Morocco, Tel: +212660278360, Email: [email protected]

Received Date: Jun 20, 2018 / Accepted Date: Jun 28, 2018 / Published Date: Jun 30, 2018

Keywords: Fistula; Diverticulitis; Cystography; Urinary infection

Introduction

Entero-vesical fistulas are defined by the existence of an abnormal pathway that communicates the bladder with the intestine.

It is most often the consequence of an inflammatory and infectious process of digestive origin and occurs during sigmoid diverticulitis and Crohn's disease.

More rarely, these entero-vesical fistulas can be of radic, tumoral, post-traumatic or iatrogenic origin.

Pneumaturia and fecaluria represent the pathognomonic clinical signs of urodigestive fistulas, but they are present in only 50% of cases.

Because of high pressure in the intestine, the fistula most often works from the intestine to the bladder except when there is an obstacle on the lower urinary tract, as was the case with our patient.

Clinical Image

medical-surgical-retrograde-urethrocystography

Figure 1: Frontal view of retrograde urethrocystography showing opacification of the sigmoid and descending colon.

medical-surgical-opacification-colon

Figure 2: Profile view of retrograde urethrocystography showing opacification of colon until half of his transverse portion.

medical-surgical-retro-vesical

Figure 3: Sagittal computed tomography scan showing retro vesical collection with close contact with sigmoid colon and bladder thickening it’s posterior wall (Arrow).

medical-surgical-bladder-wall-thickening

Figure 4: Transversal computed tomography scan showing circumferential bladder wall thickening because of urinary obstruction.

medical-surgical-majoration-bladder

Figure 5: Transversal computed tomography scan showing majoration of bladder wall thickening nearby its contact with sigmoid colon. (arrow←) Presence of uncomplicated colonic diverticula (arrow↑).

The patient was put on medical treatment for his obstructive urinary symptomatology with good evolution.

Citation: Jabbour Y, Lamzaf Y, Karmouni T, El Khader K, Koutani A, et al. (2018) Entero-Vesical Fistula Revealed by Recurrent Urinary Tract Infection. Med Sur Urol 7:i103. Doi: 10.4172/2168-9857.1000i103

Copyright: © 2018 Jabbour Y, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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