Thursday, August 5, 2010

Tic-Tac-Toe II

This is part two of a two part case. Please scroll down to see the first part.

The 70 year old gentleman presents to clinic several months later with recurrent urinary tract infections. He also says he has a weird symptom: when he urinates, he sometimes pees air. Physical exam is unremarkable.

Challenge: What?

5 comments:

tree said...

Uh oh, pneumaturia sounds like someone has a sigmoid-vesical fistula. Eww fecaluria.

Alex said...

bowel-to-bladder fistula

Suheil said...

perforated ureter as a result of a paracolic abscess from the diverticulitis..

daisy said...

fistula?

Craig Chen said...

yes! you guys are awesome
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Tic-Tac-Toe II


Colovesical fistulas are a complication of diverticulitis and presents with pneumaturia, dysuria, and fecaluria.


Source: UpToDate.