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

Aye Aye Wynn and Khine San Yin and Nang Khin Mya and Nornazirah Azizan and Andee Dzulkarnaen Zakaria and Firdaus Hayati (2022) Pneumaturia and faecaluria: Symptoms leading to a life-saving diagnosis. Annals of Medicine and Surgery, 79. pp. 1-3. ISSN 2049-0801

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Abstract

Colonic diverticulosis is often asymptomatic, but it can complicate bleeding, abscess and stricture. Pneumaturia and faecaluria are unexpected manifestations of colonic diverticulitis complicated by colovesical fistula formation. This case report highlighted a 57-year-old man who presented with lower abdominal pain which was associated with pneumaturia and fecaluria. He was diagnosed with colovesical fistula after being misdiagnosed with other diseases from various clinic visits. Direct fluoroscopy was performed and a diverticular fistula of the sigmoid colon was confirmed by computed tomography of the abdomen. Hartmann’s procedure and resection of the posterior wall of the bladder were resected. Pneumaturia and faecaluria are common but distinct manifestations of complicated diverticular diseases. Attention should be paid to general practitioners to achieve proper referral, hence early treatment and prevention of disease-related complications.

Item Type:	Article
Keyword:	Bladder , Colon , Colovesical fistula , Diverticulitis
Subjects:	R Medicine > RC Internal medicine > RC31-1245 Internal medicine > RC581-951 Specialties of internal medicine
Department:	FACULTY > Faculty of Medicine and Health Sciences
Depositing User:	DG MASNIAH AHMAD -
Date Deposited:	21 Jul 2022 16:00
Last Modified:	21 Jul 2022 16:00
URI:	https://eprints.ums.edu.my/id/eprint/33473

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