Trastorno grave del medio interno por fístula enterovesical, a propósito de un caso clínico

• Autores: Eduardo Ávila, Rodrigo A. Sepúlveda, Camila Ruedi, Felipe Muñoz, Max Andresen
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 150, Nº. 1, 2022, págs. 120-124
• Idioma: español
• Títulos paralelos:
  • Severe metabolic disorder associated with an enterovesical fistula. Report of one case
• Enlaces
  • Texto completo
• Resumen

  • 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.