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1.
Rev Med Chil ; 150(1): 120-124, 2022 Jan.
Artículo en Español | MEDLINE | ID: mdl-35856974

RESUMEN

Enterovesical fistula (EVF) is a fistulous communication between the intestine and the bladder. It is uncommon and its classic clinical manifestations are the presence of pneumaturia, fecaluria, suprapubic pain and recurrent urinary infections. Surgical repair of EVF leads to rapid correction of both diarrhea and metabolic abnormalities. We report a 73-year-old diabetic woman with a neurogenic bladder secondary to a spine meningioma. She presented with diarrhea, vomiting, impaired consciousness and metabolic acidosis. She developed hypernatremia, hypokalemia, hypocalcemia, and hypophosphatemia, which were successfully corrected.


Asunto(s)
Acidosis , Fístula Intestinal , Fístula de la Vejiga Urinaria , Infecciones Urinarias , Anciano , Diarrea/complicaciones , Femenino , Humanos , Fístula Intestinal/complicaciones , Fístula Intestinal/cirugía , Fístula de la Vejiga Urinaria/complicaciones , Fístula de la Vejiga Urinaria/cirugía
2.
Rev. méd. Chile ; 150(1): 120-124, ene. 2022. ilus, tab
Artículo en Español | LILACS | ID: biblio-1389611

RESUMEN

Enterovesical fistula (EVF) is a fistulous communication between the intestine and the bladder. It is uncommon and its classic clinical manifestations are the presence of pneumaturia, fecaluria, suprapubic pain and recurrent urinary infections. Surgical repair of EVF leads to rapid correction of both diarrhea and metabolic abnormalities. We report a 73-year-old diabetic woman with a neurogenic bladder secondary to a spine meningioma. She presented with diarrhea, vomiting, impaired consciousness and metabolic acidosis. She developed hypernatremia, hypokalemia, hypocalcemia, and hypophosphatemia, which were successfully corrected.


Asunto(s)
Humanos , Femenino , Anciano , Acidosis , Infecciones Urinarias , Fístula de la Vejiga Urinaria/cirugía , Fístula de la Vejiga Urinaria/complicaciones , Fístula Intestinal/cirugía , Fístula Intestinal/complicaciones , Diarrea/complicaciones
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