克罗恩病并发膀胱瘘1例报告

G. Pasternak, D. Bartusik-Aebisher, D. Aebisher, R. Filip
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摘要

介绍。肠膀胱瘘(entero-vesicalis)是胃肠道管腔与膀胱之间的病理连接。肠-膀胱瘘并不常见。形成膀胱肠瘘的主要原因是邻近膀胱的肠袢内发生的肠道疾病,导致上述结构之间的连接形成异常通道。目的是介绍瘘管的病因可分为先天性和获得性(肠道感染、癌症、克罗恩病、外伤和医源性)。胆道大泡瘘管的临床表现可能来自消化道或尿道。最典型的疾病是肺炎、粪尿、尿急、尿频、下腹痛、血尿、尿路感染。案件描述。本文讨论了一例Leśniowski-Crohn疾病并发膀胱瘘的病例。肠-膀胱瘘的治疗主要是手术治疗,包括切除瘘管并切除受影响的肠和膀胱壁碎片。结论。确认肠-膀胱瘘存在的测试是口服罂粟的测试,尽管有时测试结果可能是阴性的,特别是在膀胱-卵泡瘘的情况下。可用于诊断肠膀胱瘘的检查包括腹部超声、计算机断层扫描、磁共振成像、内窥镜检查(结肠镜检查或膀胱镜检查)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Crohn’s disease complicated with a bladder-fistula – a case report
Introduction. Entero-bladder fistula (fistula entero-vesicalis) is a pathological connection between the lumen of the gastrointestinal tract and the bladder. Entero-bladder fistulas are not a common condition. The main reason for the formation of entero- bladder fistulas are intestinal diseases occurring within the intestinal loop adjacent to the bladder resulting in the formation of an abnormal channel, the connection between the above structures Aim. The aim is to present the causes of the fistulas can be divided into congenital and acquired (intestinal infection, cancer, Crohn’s disease, resulting from trauma and iatrogenic). Clinical manifestations of the biliary-bullous fistulae may be from the digestive or urinary tract. The most characteristic ailments are pneumaturia, fecuria, urge to urinate, frequent urination, lower abdominal pain, hematuria, urinary tract infection. Description of the case. The article discusses the case of a patient with Leśniowski-Crohn disease complicated with a bladder- fistula. The treatment of entero-bladder fistulas is primarily surgical, it consists in resection of the fistula together with resection of the affected intestine and bladder wall fragment. Conclusion. The test confirming the presence of an entero-bladder fistula is a test with oral administration of poppies, although it happens that the test result may be negative, especially in the case of a bladder-follicular fistula. Among the tests useful in the diagnosis of entero-bladder fistula include abdominal ultrasound, computed tomography, magnetic resonance imaging, endoscopic tests (colonoscopy or cystoscopy).
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