一名年轻成人因计算机断层扫描未检测出的乙状结肠憩室炎导致结肠膀胱瘘：病例报告及文献复习

Colovesical fistula in a young adult due to sigmoid colon diverticulitis undetected in computed tomography: Case report and review of literature.

作者信息

da Silva Barroso Francisco Marcos, Dorgam Maués Carolina Augusta, Lopes de Castro Gustavo, da Silva Galvão Renato, Guedes Saint Clair José Paulo, Riberio Aref Kzam Laura

机构信息

Urology Service at Hospital e Pronto-Socorro 28 de Agosto, Avenida Mário Ypiranga, 1581, Adrianópolis, Manaus, Amazonas, 69057-000, Brazil.

General Surgery Service at Hospital e Pronto-Socorro 28 de Agosto, Avenida Mário Ypiranga, 1581, Adrianópolis, Manaus, Amazonas, 69057-000, Brazil.

出版信息

Ann Med Surg (Lond). 2021 Aug 5;69:102658. doi: 10.1016/j.amsu.2021.102658. eCollection 2021 Sep.

DOI:10.1016/j.amsu.2021.102658

PMID:34457250

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8379433/

Abstract

INTRODUCTION

Colovesical fistula is the pathological communication between the colon and urinary bladder. It is related with high morbimortality rate and it is and uncommon complication of diverticulosis in young adults.

CASE PRESENTATION

We report a case of a 38-year-old Brazilian man with fecaluria and pneumaturia for eight months, whose colovesical fistula was undetectable in CT scan and with surgical management.

DISCUSSION

Diverticulosis is the main inflammatory condition causing colovesical fistulas and the sigmoid colon is the most common part involved. It is more prevalent in patients over 60 years old and in western countries due to low fiber diet.

CONCLUSION

Colovesical fistula diagnosis is difficult, requiring high suspicious and proper investigation through good anamnesis, CT scan and also colonoscopy and cystoscopy when necessary.

摘要