Enterovesical fistula presenting as life-threatening normal anion gap metabolic acidosis.
Acidosis/*etiology; Diagnosis; Differential; Female; Humans; Hydrogen-Ion Concentration; Intestinal Fistula/*complications/*diagnosis; Middle Aged; Urinary Bladder Fistula/*complications/*diagnosis
Enterovesical fistula is a rare complication of a variety of inflammatory and neoplastic diseases. It usually presents with pneumaturia, fecaluria, urinary tract infections, or irritable bladder symptoms in the setting of either diverticulitis or malignancy. For the first time, we describe a patient with an enterovesical fistula who presented with a life-threatening normal anion gap metabolic acidosis. The direction of flow through the fistula, ie, bladder to intestine, was contingent on a spastic bladder and was responsible for the atypical presentation.
Saxena R; Rutecki G W; Whittier F C
American journal of kidney diseases : the official journal of the National Kidney Foundation
1997
1997-07
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1016/s0272-6386(97)90576-x" target="_blank" rel="noreferrer noopener">10.1016/s0272-6386(97)90576-x</a>
Pylephlebitis: a case report and review of outcome in the antibiotic era.
Female; Humans; Middle Aged; Combined Modality Therapy; Anti-Bacterial Agents/*therapeutic use; Acute Disease; Radiography; *Portal Vein/diagnostic imaging; Liver Abscess/diagnosis/etiology/therapy; Phlebitis/complications/diagnosis/*drug therapy/etiology; Sigmoid Diseases/complications/diagnosis/therapy; Colonic/complications/diagnosis/therapy; Diverticulitis
Pylephlebitis or septic thrombophlebitis of the portal vein, a precursor of hepatic abscesses, is an extremely rare and frequently fatal complication of diverticulitis. The following report describes a patient presenting with pylephlebitis and complicated diverticulitis. Diagnosis was confirmed by computed tomography. The patient had a favorable outcome with medical and surgical therapy, prompting us to evaluate historical treatment of pylephlebitis.
Saxena R; Adolph M; Ziegler J R; Murphy W; Rutecki G W
The American journal of gastroenterology
1996
1996-06
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).