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经手术治疗的结肠膀胱瘘,延迟计算机断层扫描检测发现

Colovesical Fistula Surgically Managed With Delayed Computed Tomography Detection.

作者信息

Karimi Abraham, Xiong Jay, Kaur Jasleen

机构信息

Medical School, St. Joseph's Medical Center, Stockton, USA.

Medical School, Touro College of Osteopathic Medicine, Vallejo, USA.

出版信息

Cureus. 2024 Nov 22;16(11):e74277. doi: 10.7759/cureus.74277. eCollection 2024 Nov.

Abstract

Colovesical fistula is the result of a pathologic connection between the bladder and colon. It can be a deadly sequela of a variety of conditions. Diagnosis is usually confirmed by a computed tomography (CT) scan of the abdomen. We present a case of a patient who had multiple CT scans that did not show signs of fistula and was still successfully treated. Clinicians should follow clinical signs for colovesical fistula and pursue treatment regardless of CT scan findings.

摘要

结肠膀胱瘘是膀胱与结肠之间病理性连接的结果。它可能是多种病症的致命后遗症。诊断通常通过腹部计算机断层扫描(CT)来确认。我们报告一例患者,该患者进行了多次CT扫描均未显示瘘管迹象,但仍成功接受了治疗。临床医生应留意结肠膀胱瘘的临床体征,无论CT扫描结果如何都应进行治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74de/11666304/fa53096aa78e/cureus-0016-00000074277-i01.jpg

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