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Related Experiment Videos

An unusual enterovesical fistula.

Wai Lun Law¹, Sai Man Chu

¹Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, Pokfulam Rd., Hong Kong, China. lawwl@hkucc.hku.hk

American Journal of Surgery

|April 26, 2008

Summary

This summary is machine-generated.

A woman with a history of cervical cancer developed sepsis due to an enterovesical fistula. Necrotic small bowel was found within the urinary tract, requiring retrieval.

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Area of Science:

Urology
Gastroenterology
Oncology

Background:

A 52-year-old female patient with a history of cervical cancer treated with radiation therapy.
Presentation with sepsis, a life-threatening response to infection.

Observation:

Diagnosis of an enterovesical fistula, an abnormal connection between the bladder and the bowel.
A loop of necrotic small bowel was observed within the urinary tract.

Findings:

The necrotic small bowel segment was retrieved through the urethra during urethral catheter removal.
The enterovesical fistula was the source of the sepsis.

Implications:

Highlights a rare but severe complication of radiation therapy for cervical cancer.
Underscores the importance of recognizing and managing enterovesical fistulas promptly to prevent sepsis.
Suggests potential challenges in diagnosis and treatment due to the unusual presentation of bowel tissue in the urinary tract.