van Dongen L M, Lubbers E J
Surg Gynecol Obstet. 1984 Apr;158(4):308-10.
Fourteen patients with fistulas of the bladder complicating Crohn's disease are reported. In one-half of the patients, the presence of Crohn's disease was known before; in the other one-half, the appearance of urinary symptoms led to the diagnosis of Crohn's disease. The symptom most commonly encountered was chronic pyuria, while pneumaturia as an early sign was found in only three patients. Cystoscopy proved to be the most useful diagnostic procedure. The results of this examination demonstrated lesions in 11 of 13 patients investigated and was instrumental in arriving at the correct diagnosis in four patients. Treatment should be surgical and consist of intestinal resection and suturing of the usually small defect in the bladder. The results of the operation are good with respect to the complication of the urinary tract.
本文报道了14例膀胱瘘合并克罗恩病的患者。其中一半患者之前已知患有克罗恩病；另一半患者则是出现泌尿系统症状后才确诊为克罗恩病。最常见的症状是慢性脓尿，只有3例患者出现气尿这一早期症状。膀胱镜检查被证明是最有用的诊断方法。该检查结果显示，在接受检查的13例患者中有11例存在病变，并且帮助4例患者做出了正确诊断。治疗应采取手术方式，包括肠道切除以及缝合膀胱通常较小的缺损处。就泌尿系统并发症而言，手术效果良好。
