Trastorno grave del medio interno por fístula enterovesical, a propósito de un caso clínico / Severe metabolic disorder associated with an enterovesical fistula: report of one case
Rev. méd. Chile
; 150(1): 120-124, ene. 2022. ilus, tab
Article
em Es
| LILACS
| ID: biblio-1389611
Biblioteca responsável:
CL1.1
ABSTRACT
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.
Palavras-chave
Texto completo:
1
Índice:
LILACS
Assunto principal:
Acidose
/
Infecções Urinárias
/
Fístula da Bexiga Urinária
/
Fístula Intestinal
Tipo de estudo:
Risk_factors_studies
Limite:
Aged
/
Female
/
Humans
Idioma:
Es
Revista:
Rev. méd. Chile
Assunto da revista:
MEDICINA
Ano de publicação:
2022
Tipo de documento:
Article