Enterovesical fistulae secondary to benign or malignant bowel disease are not uncommonly reported in the literature. However,bladder malignancy as the primary pathology is exceedingly rare. We report a case of muscle ...Enterovesical fistulae secondary to benign or malignant bowel disease are not uncommonly reported in the literature. However,bladder malignancy as the primary pathology is exceedingly rare. We report a case of muscle invasive urothelial carcinoma of bladder with an enterovesical fistula to a loop of small bowel. The patient first presented with signs and symptoms of per rectal bleeding,haematuria,pneumaturia,faecaluria and rectal micturition. Her initial biochemistry test revealed significant metabolic acidosis with normal anion gap and hypokalemia. A computed tomography abdomen/pelvis with rectal contrast demonstrated an enterovesical fistula from the dome of bladder to a loop of small bowel. The patient underwent radical cystectomy with enbloc resection of a loop of involved ileum and sigmoid colon due to the intraoperative findings of the sigmoid colon adherent to the tumour. The published literature is reviewed,focusing on the incidence,diagnostic modality and treatment strategies available for this rare condition.展开更多
文摘Enterovesical fistulae secondary to benign or malignant bowel disease are not uncommonly reported in the literature. However,bladder malignancy as the primary pathology is exceedingly rare. We report a case of muscle invasive urothelial carcinoma of bladder with an enterovesical fistula to a loop of small bowel. The patient first presented with signs and symptoms of per rectal bleeding,haematuria,pneumaturia,faecaluria and rectal micturition. Her initial biochemistry test revealed significant metabolic acidosis with normal anion gap and hypokalemia. A computed tomography abdomen/pelvis with rectal contrast demonstrated an enterovesical fistula from the dome of bladder to a loop of small bowel. The patient underwent radical cystectomy with enbloc resection of a loop of involved ileum and sigmoid colon due to the intraoperative findings of the sigmoid colon adherent to the tumour. The published literature is reviewed,focusing on the incidence,diagnostic modality and treatment strategies available for this rare condition.
文摘目的:探讨后路Ⅰ期全脊椎整块切除治疗胸腰椎原发与转移性肿瘤的效果。方法:收治胸腰椎原发与转移性肿瘤患者30例,均采用后路I期全脊椎整块切除治疗方法,观察治疗效果。结果:手术时间4.0～8.6 h,平均(5.5±1.5)h;术中失血1 400～10 500 m L,平均4 800 m L。术后神经功能明显优于术前(P<0.05)。复发率与并发症发生率均为6.67%(2/30)。结论:后路I期全脊椎整块切除治疗胸腰椎原发与转移性肿瘤的效果良好。
