Open AccessAn elderly man with fecal materials in the Foley catheter
Author(s) -
Fang PinHui,
Lin WeiYu,
Chang YingHsin,
Hsu HsiangChin,
Lin ChihHao
Publication year - 2018
Publication title -
hong kong journal of emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.145
H-Index - 12
eISSN - 2309-5407
pISSN - 1024-9079
DOI - 10.1177/1024907918786311
Subject(s) - medicine , diverticulitis , foley catheter , pelvis , fistula , abdomen , surgery , radiology , catheter
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.