TY - JOUR
T1 - Enterovesical fistula presenting as life-threatening normal anion gap metabolic acidosis
AU - Saxena, Ramesh
AU - Rutecki, Gregory W.
AU - Whittier, Frederick C.
PY - 1997/7
Y1 - 1997/7
N2 - 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.
AB - 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.
KW - Enterovesical fistula
KW - Hyperchloremic acidosis
KW - Normal anion gap metabolic acidosis
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U2 - 10.1016/S0272-6386(97)90576-X
DO - 10.1016/S0272-6386(97)90576-X
M3 - Article
C2 - 9214413
AN - SCOPUS:0030803392
SN - 0272-6386
VL - 30
SP - 131
EP - 133
JO - American Journal of Kidney Diseases
JF - American Journal of Kidney Diseases
IS - 1
ER -