Enterovesical fistula presenting as life-threatening normal anion gap metabolic acidosis

Ramesh Saxena, Gregory W. Rutecki, Frederick C. Whittier

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

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 enterovasical fistula who presented with a life- threatening normal anion gap metabolic acidosis. The direction of flow through the fistula, is, bladder to intestine, was contingent on a spastic bladder and was responsible for the atypical presentation.

Original languageEnglish (US)
Pages (from-to)131-133
Number of pages3
JournalAmerican Journal of Kidney Diseases
Volume30
Issue number1
DOIs
StatePublished - Jul 1997

Keywords

  • Enterovesical fistula
  • Hyperchloremic acidosis
  • Normal anion gap metabolic acidosis

ASJC Scopus subject areas

  • Nephrology

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