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?
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5 comments:

  1. treeAugust 5, 2010 at 5:02 PM

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

    ReplyDelete
  2. AlexAugust 8, 2010 at 1:24 PM

    bowel-to-bladder fistula

    ReplyDelete
  3. sidAugust 8, 2010 at 9:30 PM

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

    ReplyDelete
  4. daisyAugust 9, 2010 at 4:00 PM

    fistula?

    ReplyDelete
  5. CraigAugust 9, 2010 at 10:36 PM

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


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


    Source: UpToDate.

    ReplyDelete

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