• Revista médica de Chile · Jan 2022

    Case Reports

    [Severe metabolic disorder associated with an enterovesical fistula. Report of one case].

    • Eduardo Ávila, SepúlvedaRodrigo ARAEscuela de Medicina, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile., Camila Ruedi, Felipe Muñoz, and Max Andresen.
    • Escuela de Medicina, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
    • Rev Med Chil. 2022 Jan 1; 150 (1): 120-124.

    AbstractEnterovesical 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.

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