1. An elderly man with fecal materials in the Foley catheter
- Author
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Ying Hsin Chang, Chih Hao Lin, Wei Yu Lin, Pin Hui Fang, and Hsiang Chin Hsu
- Subjects
medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,030232 urology & nephrology ,Foley catheter ,Computed tomography ,Emergency department ,Diverticulitis ,medicine.disease ,030218 nuclear medicine & medical imaging ,Surgery ,03 medical and health sciences ,0302 clinical medicine ,medicine.anatomical_structure ,Fecaluria ,Emergency Medicine ,medicine ,Abdomen ,business ,Pelvis ,Feces - 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.
- Published
- 2018
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