NEJM:结肠膀胱瘘-病例报道

2019-06-27 xing.T MedSci原创

结肠膀胱瘘的原因包括憩室炎、炎症性肠病和肠癌或膀胱癌。患者接受了乙状结肠切除术的机器人辅助结肠膀胱瘘修复术。

患者为一名72岁的妇女,因尿液中有气体2周而到泌尿外科就诊。三个月前,她接受了急性憩室炎的治疗,就在此次就诊之前,她已经完成了尿路感染的治疗。

在体检时,她的腹部柔软,没有压痛或膨胀。尿液分析以白细胞和细菌为特征,尿培养可见肺炎克雷伯菌生长。腹部和骨盆对比增强的计算机断层扫描显示从乙状结肠延伸到膀胱上壁的结肠周围肿块。结肠镜检查显示结肠憩室病没有肿瘤或息肉。囊肿的膀胱镜检查显示有一个充血的水肿膀胱粘膜区域,中央孔口挤压气体和多余的物质,这证实了结肠膀胱瘘的诊断



结肠膀胱瘘的原因包括憩室炎、炎症性肠病和肠癌或膀胱癌。患者接受了乙状结肠切除术的机器人辅助结肠膀胱瘘修复术。

在2个月后的随访中,患者表现良好,没有症状复发。

原始出处:

Akbar N. Ashrafi,et al.Colovesical Fistula.N Engl J Med 2019;https://www.nejm.org/doi/full/10.1056/NEJMicm1900267

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    2019-06-28 183****7028

    学习

    0

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    2019-06-28 百草

    666

    0

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    2019-06-28 njwbhuang

    很少见的病例!

    0

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    2019-06-28 旺医

    顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息

    0