An elderly man with fecal materials in the Foley catheter. Issue 6 (November 2018)

• Record Type: Journal Article
• Authors: Fang, Pin-Hui; Lin, Wei-Yu; Chang, Ying-Hsin; Hsu, Hsiang-Chin; Lin, Chih-Hao
• Is Part Of: Hong Kong journal of emergency medicine. Volume 25:Issue 6(2018)
• Page Start: 376
• Page End: 378
• Publication Date: 2018-11
• Subjects: Enterovesical fistula -- diverticulitis -- fecaluria; Emergency medicine -- Periodicals; 616.02505
• DOI: 10.1177/1024907918786311
• Languages: English
• ISSNs: 2309-5407

Abstract

A 70-year-old man presented to the emergency department with a 2-week history of watery diarrhea. Fecal materials were found in the Foley catheter. A computed tomography of the abdomen and pelvis revealed chronic diverticulitis with enterovesical fistula. The patient was treated with broad-spectrum antibiotics and underwent an urgent surgery with a transverse loop colostomy. The presence of fecaluria should raise the clinical suspicion of enterovesical fistula. Computed tomography is the choice of diagnostic modality.