Li Shuai, Chen Zhipeng, Zhang Qian, Huang Chuanyang, Wang Zhe, Du Shuqi
Department of Urology, Weifang People's Hospital, Weifang, 261042, Shandong, China.
Department of Urology, Research Institute of China Medical University The First Affiliated Hospital of China Medical University, Shenyang, PR China.
BJR Case Rep. 2016 Aug 31;3(1):20150124. doi: 10.1259/bjrcr.20150124. eCollection 2017.
Enterovesical fistula is an abnormal communication between the urinary bladder and intestine. Diverticulitis is the most common aetiology, accounting for approximately 50-70% of cases, and malignancy is the second most common cause, accounting for approximately 20% of cases. However, most patients are hospitalized because of urinary symptoms. The disease can be misdiagnosed if patients have been symptomatic for a long time before the diagnosis is made. Detection of enterovesical fistula and the underlying disease is important. However, the optimal diagnostic methods have not been clarified. CT scan is the most sensitive diagnostic modality, but should be backed up with cystoscopy, cystography, colonoscopy and barium enema.
膀胱肠道瘘是膀胱与肠道之间的异常通道。憩室炎是最常见的病因，约占病例的50 - 70%，恶性肿瘤是第二常见病因，约占病例的20%。然而，大多数患者因泌尿系统症状住院。如果患者在确诊前有较长时间的症状，该病可能会被误诊。检测膀胱肠道瘘及其潜在疾病很重要。然而，最佳诊断方法尚未明确。CT扫描是最敏感的诊断方式，但应辅以膀胱镜检查、膀胱造影、结肠镜检查和钡灌肠检查。
