A vesicointestinal fistula (or intestinovesical fistula) is a form of
fistula between the
bladder 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
intestine: "vesicoenteric", "enterovesical", or "vesicointestinal"[1][2][3]
Bladder and
colon: "vesicocolic" or "colovesical"[4]
Bladder and
rectum: "vesicorectal" or "rectovesical"[5]
Symptoms and signs
If fecal matter passes through the fistula into the bladder, the existence of the fistula may be revealed by
pneumaturia, fecaluria, or recurrent
urinary tract infection. Migration of urine through the fistula into the bowel may cause rectal passage of urine.[6]
^Kwon, EO; Armenakas, NA; Scharf, SC; Panagopoulos, G; Fracchia, JA (Apr 2008). "The poppy seed test for colovesical fistula: big bang, little bucks!". The Journal of Urology. 179 (4): 1425–7.
doi:
10.1016/j.juro.2007.11.085.
PMID18289575.
^Amendola, MA; Agha, FP; Dent, TL; Amendola, BE; Shirazi, KK (Apr 1984). "Detection of occult colovesical fistula by the Bourne test". AJR. American Journal of Roentgenology. 142 (4): 715–8.
doi:
10.2214/ajr.142.4.715.
PMID6608228.