Vesicointestinal fistula
Encyclopedia
A vesicointestinal fistula (or intestinovesical fistula) is a form of fistula
between the bladder
and the bowel.
or fecaluria
.
Fistula
In medicine, a fistula is an abnormal connection or passageway between two epithelium-lined organs or vessels that normally do not connect. It is generally a disease condition, but a fistula may be surgically created for therapeutic reasons.-Locations:Fistulas can develop in various parts of the...
between the bladder
Urinary bladder
The urinary bladder is the organ that collects urine excreted by the kidneys before disposal by urination. A hollow muscular, and distensible organ, the bladder sits on the pelvic floor...
and the bowel.
Types
A fistula involving the bladder can have one of many specific names, describing the specific location of its outlet:- bladder and intestineIntestineIn human anatomy, the intestine is the segment of the alimentary canal extending from the pyloric sphincter of the stomach to the anus and, in humans and other mammals, consists of two segments, the small intestine and the large intestine...
: "vesicoenteric", "enterovesical", or "vesicointestinal" - bladder and colonColon (anatomy)The colon is the last part of the digestive system in most vertebrates; it extracts water and salt from solid wastes before they are eliminated from the body, and is the site in which flora-aided fermentation of unabsorbed material occurs. Unlike the small intestine, the colon does not play a...
: "vesicocolic" or "colovesical" - bladder and rectumRectumThe rectum is the final straight portion of the large intestine in some mammals, and the gut in others, terminating in the anus. The human rectum is about 12 cm long...
: "vesicorectal" or "rectovesical"
Symptoms/signs
If fecal matter passes through the fistula into the bladder, the existence of the fistula may be revealed by pneumaturiaPneumaturia
Pneumaturia is the passage of gas or "air" in urine. This may be seen or described as "bubbles in the urine".-Causes:A common cause of pneumaturia is vesico-colic fistulae...
or fecaluria
Fecaluria
-Definition:Fecaluria is the mixture of feces and urine that is passed from the urethra due to a fistula between the intestinal tract and bladder. A fistula is an abnormal passage that leads from an abscess or hollow organ to the body surface or from one hollow organ to another. It may be...
.