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既往结肠吻合口处输尿管-结肠瘘:一例报告

Uretero-Colonic Fistula at a Previous Colon Anastomosis Site: A Case Report.

作者信息

Kunitsky Kevin D, Cavayero Chase

机构信息

Department of Urology, Kansas City University, Kansas City, USA.

Department of Urology, Lee Health, Fort Myers, USA.

出版信息

Cureus. 2023 Jun 8;15(6):e40154. doi: 10.7759/cureus.40154. eCollection 2023 Jun.

Abstract

Uretero-colonic fistulae are a rare disease resulting from pathologic connection between the ureter and colon, which can be difficult to diagnose. This case report reviews the case of an 83-year-old female with a history of ovarian cancer treated with surgery, radiation, and chemotherapy, who developed a uretero-colonic fistula at a previous colon anastomosis site, which was later diagnosed by ureteroscopy. She was treated with stent placement followed by loop colostomy and was discovered to have metastatic ovarian cancer. She received palliative care consultation and was advised to follow up as an outpatient with the oncology and urology services. Although uretero-colonic fistulae are treatable, treatment depends on patients' overall clinical picture.

摘要

输尿管结肠瘘是一种罕见疾病,由输尿管与结肠之间的病理性连接引起,可能难以诊断。本病例报告回顾了一名83岁女性的病例,该女性有卵巢癌病史,接受过手术、放疗和化疗,在先前的结肠吻合部位发生了输尿管结肠瘘,后来通过输尿管镜检查确诊。她接受了支架置入术,随后进行了袢式结肠造口术,并被发现患有转移性卵巢癌。她接受了姑息治疗咨询,并被建议作为门诊患者接受肿瘤学和泌尿外科服务的随访。虽然输尿管结肠瘘是可治疗的,但治疗取决于患者的整体临床情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9041/10329561/3cb6a5e43679/cureus-0015-00000040154-i01.jpg

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