Nuruddin R N, Rathakrishnan V
Department of Radiology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Australas Radiol. 1990 Aug;34(3):268-70. doi: 10.1111/j.1440-1673.1990.tb02649.x.
A case of primary non-Hodgkin's lymphoma of the terminal ileum with enterovesical fistula is reported. A 50-year-old Malay man presented with haematuria, dysuria and per-rectal bleeding. Intravenous urogram, double contrast enema and an MDP bone scintigram showed a fistulous communication between the bladder and distal ileum. At laparotomy, a large tumour attaching the terminal ileum to the dome of the bladder was found. Histopathological examination of resected small bowel revealed a diffuse histiocytic non-Hodgkin's lymphoma of the small bowel. The bladder mucosa was shown to be normal.
报告了一例回肠末端原发性非霍奇金淋巴瘤合并肠膀胱瘘的病例。一名50岁的马来男性出现血尿、排尿困难和直肠出血。静脉肾盂造影、双重对比灌肠和MDP骨闪烁造影显示膀胱与回肠末端之间存在瘘管相通。剖腹手术时，发现一个将回肠末端与膀胱顶部相连的大肿瘤。切除的小肠组织病理学检查显示为小肠弥漫性组织细胞性非霍奇金淋巴瘤。膀胱黏膜显示正常。
