Ikeda I, Miura T, Kondo I
Department of Urology, Kanagawa Cancer Center, Yokohama, Japan.
J Urol. 1995 Apr;153(4):1220-1.
We present a rare case of vesico-appendiceal fistula secondary to mucinous adenocarcinoma of the appendix. Transurethral biopsy of the bladder revealed a mucinous adenocarcinoma of probable colonic origin. Adenocarcinoma of the appendix that directly invaded the bladder was diagnosed preoperatively by air-contrast barium enema, colonoscopy and magnetic resonance imaging. When one encounters a case of adenocarcinoma of the bladder suspected to be of colonic origin, one should examine the colon and rectum as well as the appendix and cecum.
我们报告一例罕见的因阑尾黏液腺癌继发的膀胱-阑尾瘘。经尿道膀胱活检显示为可能起源于结肠的黏液腺癌。术前通过气钡双重造影、结肠镜检查和磁共振成像诊断出阑尾腺癌直接侵犯膀胱。当遇到怀疑起源于结肠的膀胱腺癌病例时,应检查结肠、直肠以及阑尾和盲肠。