Cargando…
Sigmoido-vesical fistula secondary to sigmoid colon cancer presenting as urinary tract infection with Lactococcus lactis: A case report
A colovesical fistula is a pathological communication between the colon and bladder. The symptoms include pneumaturia, fecaluria, and a lower urinary tract infection. The diagnosis is based on clinical symptoms, but the symptoms are not specific. Therefore, confirming the diagnosis is challenging. U...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10016092/ https://www.ncbi.nlm.nih.gov/pubmed/36937404 http://dx.doi.org/10.3389/fonc.2023.1054978 |
_version_ | 1784907332747001856 |
---|---|
author | An, Yanhua Cao, Qiumei Liu, Yixin Lei, Luping Wang, Dawei Yang, Yanjie Kong, Weijie An, Dali Liu, Dan |
author_facet | An, Yanhua Cao, Qiumei Liu, Yixin Lei, Luping Wang, Dawei Yang, Yanjie Kong, Weijie An, Dali Liu, Dan |
author_sort | An, Yanhua |
collection | PubMed |
description | A colovesical fistula is a pathological communication between the colon and bladder. The symptoms include pneumaturia, fecaluria, and a lower urinary tract infection. The diagnosis is based on clinical symptoms, but the symptoms are not specific. Therefore, confirming the diagnosis is challenging. Urine cultures performed in patients with colovesical fistulas usually show growth of Escherichia coli or mixed growth of bowel organisms. Urinary tract infections caused by Lactococcus lactis are very rare, as it is rarely considered pathogenic in humans. We report the case of a 70-year-old woman who presented with symptoms of a recurrent urinary tract infection. Urine cultures were positive for L. lactis. Abdominopelvic computed tomography (CT) revealed focal thickening of the bladder wall and gas in the bladder. Cystoscopic examination and colonoscopy revealed sigmoid colon cancer and a sigmoido-vesical fistula. Laparoscopic surgical treatment was done. The patient recovered and was discharged 3 weeks later without chemoradiotherapy. On follow-up after 6 months, the patient was asymptomatic and stable. To our knowledge, this is the second reported case of L. lactis infection of the urinary tract and the first reported case in adults. L. lactis infection usually indicates the presence of serious underlying diseases such as malignancies, uncontrolled diabetes, and organ failure. |
format | Online Article Text |
id | pubmed-10016092 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-100160922023-03-16 Sigmoido-vesical fistula secondary to sigmoid colon cancer presenting as urinary tract infection with Lactococcus lactis: A case report An, Yanhua Cao, Qiumei Liu, Yixin Lei, Luping Wang, Dawei Yang, Yanjie Kong, Weijie An, Dali Liu, Dan Front Oncol Oncology A colovesical fistula is a pathological communication between the colon and bladder. The symptoms include pneumaturia, fecaluria, and a lower urinary tract infection. The diagnosis is based on clinical symptoms, but the symptoms are not specific. Therefore, confirming the diagnosis is challenging. Urine cultures performed in patients with colovesical fistulas usually show growth of Escherichia coli or mixed growth of bowel organisms. Urinary tract infections caused by Lactococcus lactis are very rare, as it is rarely considered pathogenic in humans. We report the case of a 70-year-old woman who presented with symptoms of a recurrent urinary tract infection. Urine cultures were positive for L. lactis. Abdominopelvic computed tomography (CT) revealed focal thickening of the bladder wall and gas in the bladder. Cystoscopic examination and colonoscopy revealed sigmoid colon cancer and a sigmoido-vesical fistula. Laparoscopic surgical treatment was done. The patient recovered and was discharged 3 weeks later without chemoradiotherapy. On follow-up after 6 months, the patient was asymptomatic and stable. To our knowledge, this is the second reported case of L. lactis infection of the urinary tract and the first reported case in adults. L. lactis infection usually indicates the presence of serious underlying diseases such as malignancies, uncontrolled diabetes, and organ failure. Frontiers Media S.A. 2023-03-01 /pmc/articles/PMC10016092/ /pubmed/36937404 http://dx.doi.org/10.3389/fonc.2023.1054978 Text en Copyright © 2023 An, Cao, Liu, Lei, Wang, Yang, Kong, An and Liu https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Oncology An, Yanhua Cao, Qiumei Liu, Yixin Lei, Luping Wang, Dawei Yang, Yanjie Kong, Weijie An, Dali Liu, Dan Sigmoido-vesical fistula secondary to sigmoid colon cancer presenting as urinary tract infection with Lactococcus lactis: A case report |
title | Sigmoido-vesical fistula secondary to sigmoid colon cancer presenting as urinary tract infection with Lactococcus lactis: A case report |
title_full | Sigmoido-vesical fistula secondary to sigmoid colon cancer presenting as urinary tract infection with Lactococcus lactis: A case report |
title_fullStr | Sigmoido-vesical fistula secondary to sigmoid colon cancer presenting as urinary tract infection with Lactococcus lactis: A case report |
title_full_unstemmed | Sigmoido-vesical fistula secondary to sigmoid colon cancer presenting as urinary tract infection with Lactococcus lactis: A case report |
title_short | Sigmoido-vesical fistula secondary to sigmoid colon cancer presenting as urinary tract infection with Lactococcus lactis: A case report |
title_sort | sigmoido-vesical fistula secondary to sigmoid colon cancer presenting as urinary tract infection with lactococcus lactis: a case report |
topic | Oncology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10016092/ https://www.ncbi.nlm.nih.gov/pubmed/36937404 http://dx.doi.org/10.3389/fonc.2023.1054978 |
work_keys_str_mv | AT anyanhua sigmoidovesicalfistulasecondarytosigmoidcoloncancerpresentingasurinarytractinfectionwithlactococcuslactisacasereport AT caoqiumei sigmoidovesicalfistulasecondarytosigmoidcoloncancerpresentingasurinarytractinfectionwithlactococcuslactisacasereport AT liuyixin sigmoidovesicalfistulasecondarytosigmoidcoloncancerpresentingasurinarytractinfectionwithlactococcuslactisacasereport AT leiluping sigmoidovesicalfistulasecondarytosigmoidcoloncancerpresentingasurinarytractinfectionwithlactococcuslactisacasereport AT wangdawei sigmoidovesicalfistulasecondarytosigmoidcoloncancerpresentingasurinarytractinfectionwithlactococcuslactisacasereport AT yangyanjie sigmoidovesicalfistulasecondarytosigmoidcoloncancerpresentingasurinarytractinfectionwithlactococcuslactisacasereport AT kongweijie sigmoidovesicalfistulasecondarytosigmoidcoloncancerpresentingasurinarytractinfectionwithlactococcuslactisacasereport AT andali sigmoidovesicalfistulasecondarytosigmoidcoloncancerpresentingasurinarytractinfectionwithlactococcuslactisacasereport AT liudan sigmoidovesicalfistulasecondarytosigmoidcoloncancerpresentingasurinarytractinfectionwithlactococcuslactisacasereport |