Severe metabolic disorder associated with an enterovesical fistula. Report of one caseTrastorno grave del medio interno por fistula enterovesical, a proposito de un caso clinico
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Date
2022
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Abstract
© 2022 Sociedad Medica de Santiago. All rights reserved.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.
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Keywords
Acidosis, Hypokalemia, Intestinal Fistula, Urinary Fistula