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Fecaluria is the medical term for the presence of fecal matter in the urine. This condition is relatively rare and is often associated with an abnormal connection between the intestines and the urinary tract, known as a fistula. Here are some key points about fecaluria: Causes Enterovesical Fistula (EVF): The most common cause of fecaluria is an enterovesical fistula, which is an abnormal connection between the bowel and the bladder. This can occur due to conditions such as diverticulitis, Crohn's disease, colorectal cancer, bladder cancer, and trauma2. Surgical Complications: Post-surgical complications from abdominal surgeries can inadvertently lead to the formation of a fistula. Infections: Infections of the genitourinary system or pelvis can also contribute to the development of fistulas. Symptoms Pneumaturia: Passage of gas during urination. Recurrent Urinary Tract Infections (UTIs): Frequent UTIs that are resistant to standard treatments. Dysuria: Painful urination. Hematuria: Blood in the urine. Lower Abdominal Pain: Discomfort in the abdominal region. Diagnosis Imaging Tests: CT scans, MRI, and ultrasound can help identify the presence of a fistula. Cystoscopy: A procedure that allows direct visualization of the bladder and urethra. Contrast Studies: Such as a barium enema or a cystogram, to highlight the fistula on imaging. Treatment Surgery: The primary treatment for an enterovesical fistula is surgical repair to close the abnormal connection. This may involve resection of the affected bowel segment and repair of the bladder2. Antibiotics: To treat any associated infections. Supportive Care: Management of symptoms and monitoring for complications #Fecaluria