Klevar Jakub, Hrabák Pavel, Brůha Radan, Zámečník Libor
4th Department of Medicine - Department of Gastroenterology and Hepatology, First Faculty of Medicine Charles University and General University Hospital in Prague, Prague, Czech Republic.
Department of Sexuology, General University Hospital in Prague, Prague, Czech Republic.
Case Rep Gastroenterol. 2025 Jun 20;19(1):476-481. doi: 10.1159/000546596. eCollection 2025 Jan-Dec.
Vesico-peritoneal fistula (VPF) is an uncommon type of fistula in the urogenital tract and a rare cause of ascites.
Although VPF mainly occurs as an early postoperative complication of gynecological surgery, we report a case of a 71-year-old female patient who presented with ascites, pseudo-renal failure, and peritonitis caused by a VPF as a delayed complication of radiotherapy.
In this case report, we discuss treatment strategies based on previously published case studies and our experience. We provide a diagnostic overview of commonly available imaging techniques, such as computed tomography scans and magnetic resonance imagings. Despite their widespread use, these imaging modalities have not led to any shift in the diagnostic process, with the definitive diagnosis being confirmed only by retrograde cystography.
膀胱腹膜瘘（VPF）是泌尿生殖道中一种不常见的瘘管类型，也是腹水的罕见病因。
虽然VPF主要作为妇科手术的早期术后并发症出现，但我们报告了一例71岁女性患者，该患者因放疗延迟并发症导致的VPF出现腹水、假性肾衰竭和腹膜炎。
在本病例报告中，我们根据先前发表的病例研究和我们的经验讨论了治疗策略。我们提供了常用成像技术（如计算机断层扫描和磁共振成像）的诊断概述。尽管这些成像方式被广泛使用，但它们并未导致诊断过程发生任何改变，最终诊断仅通过逆行膀胱造影得以证实。
