Table 1.

Presenting symptoms

Case	Age/gender	Aetiology	Presenting symptoms	Urine culture	Site of causative lesion
1	69/F	Appendicitis/diverticulitis	She underwent appendectomy 3 months before presentation and had symptoms of urodynia, frequent micturition, abdominal pain, cloudy urine, chills, nausea, vomiting and occasional pyrexia	Escherichia coli (1 × 104 CFU ml−1),and ESBLs positivity	A fistula between the bladder and ileum
2	62/F	Appendicitis	She had symptoms of haematuria, frequent micturition, urge incontinence and dysuria. She urinated 3–4 times during the day and 4–5 times at night. She was not pyrexic, and chronic gastrointestinal disease was excluded.	E. Coli (1 × 105 CFU ml−1), and ESBL positivity	A fistula in the appendix and bladder
3	59/M	Diverticulitis	He had symptoms of urodynia, urge incontinence, gross haematuria and abdominal pain. At its most severe, he was urinating > 30 times per day. Yellow and black cloudy floccules were visible in the urine.	Enterococcus faecium (1 × 105 CFU ml−1)	A vesicocolic fistula
4	54/M	Colon cancer	He suffered 2 months of increased urinary frequency, urge incontinence, urodynia, dysuria and haematuria, along with hypogastralgia of 1 month’s duration. Occasionally, he suffered rigors at night.	E. faecium (1 × 104 CFU ml−1)	A vesicocolic fistula

CFU, colony forming units; ESBL, extended-spectrum β-lactamase; F, female; M, male.