Pneumaturia and faecaluria: Symptoms leading to a life-saving diagnosis

Wynn, Aye Aye; Yin, Khine San; Mya, Nang Khin; Azizan, Nornazirah; Zakaria, Andee Dzulkarnaen; Hayati, Firdaus

doi:10.1016/j.amsu.2022.103967

Cited by 1 publication

(1 citation statement)

References 11 publications

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“…Though pneumaturia is not specific to the colovesical fistula, more than two-thirds of patients with colovesical fistula report passing ‘gas’ in the urine. Faecaluria is pathognomonic of colovesical fistula but is usually a late finding and occurs when the fistulous tract has become quite large 8. Physical examination in these patients is often unremarkable.…”

Section: Discussionmentioning

confidence: 99%

Unique case of colovesical fistula in a renal allograft recipient

et al. 2023

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Colovesical fistula is commonly suspected in cases of diverticular disease, malignancy, trauma, iatrogenic injury or radiotherapy. In a case of allogenic live related transplant, this is rarely expected, especially after 20 years. The presence of gas in the bladder in the absence of history of instrumentation of urinary tract should prompt us to evaluate for colovesical fistula. Pneumaturia, faecaluria and recurrent urinary tract infection are tell-tale features of colovesical fistula, and when patients who are renal allograft recipient present with them, it should prompt a proper workup and swift surgical management, since the outcome is uniformly favourable. From our knowledge in this realm, we know that these are immunocompromised patients and have a high tendency to develop risk factors like malignancy and/or diverticular disease and eventually form colovesical fistula. An expected time period could be from 2 months to 6 years. But in our case, fistula formation occurred long after peak corticosteroid action, in the absence of conventional aetiologies.

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Section: Discussionmentioning

confidence: 99%