Sellers William, Fiorelli Robert
Geisinger Wyoming Valley, 1000 East Mountain Blvd, Wilkes-Barre, PA 18702, USA.
Fiorelli Urology Associates, 1155 Hwy 315 Blvd, Wilkes-Barre, PA 18702, USA.
Urol Case Rep. 2015 Aug 14;3(6):201-3. doi: 10.1016/j.eucr.2015.06.004. eCollection 2015 Nov.
Enterovesical fistulas are a well-known complication of inflammatory and malignant bowel disease. Bladder carcinoma, however, is an extremely rare etiology. We describe a case of squamous cell carcinoma of the bladder with an enterovesical fistula. This rare phenomenon has never been previously reported in western literature. We review the diagnosis, work up and treatment of enterovesical fistulas. Unfortunately, the prognosis for these highly invasive tumors is very poor and the treatment is often palliative. The high morbidity and mortality makes management of these patients exceptionally challenging.
肠膀胱瘘是炎症性和恶性肠道疾病的一种众所周知的并发症。然而,膀胱癌是一种极其罕见的病因。我们描述了一例伴有肠膀胱瘘的膀胱鳞状细胞癌病例。这种罕见现象此前在西方文献中从未有过报道。我们回顾了肠膀胱瘘的诊断、检查和治疗。不幸的是,这些高侵袭性肿瘤的预后非常差,治疗往往是姑息性的。高发病率和死亡率使得这些患者的管理极具挑战性。