Ávila Eduardo, Sepúlveda Rodrigo A, Ruedi Camila, Muñoz Felipe, Andresen Max
Escuela de Medicina, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Rev Med Chil. 2022 Jan;150(1):120-124. doi: 10.4067/S0034-98872022000100120.
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.
肠膀胱瘘（EVF）是指肠与膀胱之间的瘘管相通。它并不常见，其典型临床表现为气尿、粪尿、耻骨上疼痛和反复尿路感染。EVF的手术修复可迅速纠正腹泻和代谢异常。我们报告一名73岁患有脊柱脑膜瘤继发神经源性膀胱的糖尿病女性。她出现腹泻、呕吐、意识障碍和代谢性酸中毒。她出现了高钠血症、低钾血症、低钙血症和低磷血症，这些均得到成功纠正。
