Vesico-intestinal fistula complicating bowel diseases

ABSTRACT

Vesico-intestinal fistula is a serious complication of malignant and inflammatory intestinal diseases, and needs serious consideration as well. Eight patients with vesico-intestinal fistulas are presented. Three were due to malignant tumors and five were caused by inflammatory bowel diseases. Involvement of the ureter was observed in two cases, one with regional ileitis and the other with carcinoma of the cecum. The key symptoms of pneumaturia and fecaluria were present in all patients, but one. The principles of management and post- treatment consequences were outlined and discussed