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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...

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Autores principales: An, Yanhua, Cao, Qiumei, Liu, Yixin, Lei, Luping, Wang, Dawei, Yang, Yanjie, Kong, Weijie, An, Dali, Liu, Dan
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
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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.
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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
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