Trastorno severo del medio interno por fístula enterovesical, a propósito de un caso clínico

Resumen

Enterovesical fistula (EVF) is a fistulous communication between the intestine and the bladder. It is uncommon and its classic clinical manifestations are the presence of pneumaturia, fecaluria, suprapubic pain and recurrent urinary infections. Surgical repair of FEV leads to rapid correction of both diarrhea and metabolic abnormalities. We report a 73 years-old diabetic woman with a neurogenic bladder secondary to a spine meningioma. She presented with diarrhea vomiting, impaired consciousness and metabolic acidosis. She developed hypernatremia, hypokalemia, hypocalcemia, and hypophosphatemia, which were successfully corrected.