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膀胱憩室:影像学特征与并发症

Urinary bladder diverticula: imaging features and complications.

作者信息

Zhu Grace G, Siegel Cary L, Rogers Douglas M, Sagel Jonathan, Morrell Glen, Olpin Jeffrey D, Schmidt Bogdana, Hoegger Mark J

机构信息

Department of Radiology, University of Utah Health, 50 N. Medical Dr., Salt Lake City, UT, 84132, USA.

Department of Radiology and Imaging Sciences, University of Utah, 30 North 1900 East, Salt Lake City, UT, 84132, USA.

出版信息

Abdom Radiol (NY). 2025 Feb 1. doi: 10.1007/s00261-024-04714-w.

DOI:10.1007/s00261-024-04714-w
PMID:39890634
Abstract

Urinary bladder diverticula are common and are frequently incidentally discovered. Many downstream complications can occur due to urinary stasis, such as bladder diverticular stones, infection, and malignancy. Understanding the physiology of bladder diverticula and potential pitfalls and mimics is critical to an accurate description of bladder diverticula and early detection of potential downstream complications. This pictorial review will first review the normal bladder histology and function, bladder diverticular types, and typical imaging features. The paper will then draw attention to technical pitfalls and potential mimics. Finally, we will review the downstream complications, including stones, infection, malignancy, and BCG-related changes.

摘要

膀胱憩室很常见,常常是在偶然情况下被发现。由于尿液潴留,可能会出现许多下游并发症,如膀胱憩室结石、感染和恶性肿瘤。了解膀胱憩室的生理学、潜在陷阱及类似病变对于准确描述膀胱憩室和早期发现潜在的下游并发症至关重要。本图像综述将首先回顾正常膀胱组织学和功能、膀胱憩室类型及典型影像学特征。本文还将关注技术陷阱和潜在的类似病变。最后,我们将回顾下游并发症,包括结石、感染、恶性肿瘤及卡介苗相关改变。

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本文引用的文献

1
Bladder Diverticulum-A Case Report.膀胱憩室——病例报告
J Educ Teach Emerg Med. 2020 Oct 15;5(4):V15-V18. doi: 10.21980/J8635C. eCollection 2020 Oct.
2
Hutch diverticulum: from embryology to clinical practice.哈钦森憩室:从胚胎学到临床实践
Folia Med Cracov. 2022 Dec 29;62(4):57-62. doi: 10.24425/fmc.2022.144083.
3
Urinary Bladder Masses, Rare Subtypes, and Masslike Lesions: Radiologic-Pathologic Correlation.膀胱肿块、罕见亚型和类似肿块病变:影像学-病理学相关性。
Radiographics. 2023 Jan;43(1):e220034. doi: 10.1148/rg.220034.
4
The urothelium: a multi-faceted barrier against a harsh environment.尿路上皮:恶劣环境下的多面屏障。
Mucosal Immunol. 2022 Jun;15(6):1127-1142. doi: 10.1038/s41385-022-00565-0. Epub 2022 Sep 30.
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Incidence of Kidney Stones in the United States: The Continuous National Health and Nutrition Examination Survey.美国肾结石的发病率:连续国家健康和营养检查调查。
J Urol. 2022 Apr;207(4):851-856. doi: 10.1097/JU.0000000000002331. Epub 2021 Dec 2.
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Beyond reflux: the spectrum of voiding cystourethrogram findings in the pediatric population.除反流外:小儿排尿性膀胱尿道造影的各种发现。
Pediatr Radiol. 2022 Jan;52(1):134-143. doi: 10.1007/s00247-021-05161-1. Epub 2021 Sep 6.
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Giant bladder diverticulum in a postmenopausal woman: Case report and literature review.一名绝经后女性的巨大膀胱憩室:病例报告及文献综述
Urol Case Rep. 2021 Aug 12;39:101807. doi: 10.1016/j.eucr.2021.101807. eCollection 2021 Nov.
8
A Rare Case of Acute Urinary Bladder Diverticulitis Mimicking Acute Appendicitis.罕见的急性膀胱憩室炎酷似急性阑尾炎病例。
Am J Case Rep. 2020 Aug 11;21:e925236. doi: 10.12659/AJCR.925236.
9
Management of Intradiverticular Bladder Tumours: A Systematic Review.腔内膀胱肿瘤的处理:系统评价。
Urol Int. 2020;104(1-2):42-47. doi: 10.1159/000503868. Epub 2019 Dec 18.
10
Complications of Intravesical BCG Immunotherapy for Bladder Cancer.膀胱癌膀胱内卡介苗免疫治疗的并发症。
Radiographics. 2019 Jan-Feb;39(1):80-94. doi: 10.1148/rg.2019180014. Epub 2018 Dec 7.