Enterovesical Fistula ; Definition, Causes, Symptoms, Diagnosis, Treatment скачать в хорошем качестве

Enterovesical Fistula ; Definition, Causes, Symptoms, Diagnosis, Treatment

Enterovesical Fistula (EVF) is a rare and complex medical condition characterized by an abnormal connection between the intestines and the bladder. This condition can lead to a variety of uncomfortable and potentially severe symptoms, significantly affecting a patient's quality of life. Symptoms Pneumaturia: Passage of gas during urination, causing bubbles in the urine. Fecaluria: Presence of fecal matter in the urine, leading to a brownish tint or cloudy appearance. Recurrent Urinary Tract Infections (UTIs): Frequent UTIs that may be resistant to standard treatments. Dysuria: Painful urination. Hematuria: Blood in the urine. Lower Abdominal Pain: Discomfort in the abdominal region. Causes Diverticular Disease: Diverticulitis, an inflammation of the diverticula in the intestine, is the most common cause of EVFs. Crohn’s Disease: Chronic inflammation from Crohn's disease can lead to tissue breakdown and abnormal connections. Malignancies: Cancers, particularly colorectal cancer, can cause EVFs by eroding through the intestinal wall into the bladder. Surgical Complications: Post-surgical complications from abdominal surgeries can inadvertently lead to the formation of an EVF. Trauma: Severe abdominal trauma may also contribute to the development of fistulas between the bowel and the bladder. Diagnosis and Treatment Diagnosis: Diagnosis typically involves imaging studies such as CT scans, MRI, or cystography to visualize the fistula. A thorough medical history and physical examination are also essential. Treatment: Treatment usually involves surgical intervention to repair the fistula. In some cases, conservative management with antibiotics and catheterization may be attempted initially. Prompt medical attention is crucial to prevent serious complications such as sepsis. You can find more detailed information on enterovesical fistulas here and here. #Fistula