Colovesical fistula causing an uncommon reason for failure of computed tomography colonography: a case reportReportar como inadecuado




Colovesical fistula causing an uncommon reason for failure of computed tomography colonography: a case report - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

Journal of Medical Case Reports

, 6:214

First Online: 23 July 2012Received: 05 October 2011Accepted: 20 March 2012DOI: 10.1186-1752-1947-6-214

Cite this article as: Neroladaki, A., Breguet, R., Botsikas, D. et al. J Med Case Reports 2012 6: 214. doi:10.1186-1752-1947-6-214

Abstract

IntroductionComputed tomography colonography, or virtual colonoscopy, is a good alternative to optical colonoscopy. However, suboptimal patient preparation or colon distension may reduce the diagnostic accuracy of this imaging technique.

Case presentationWe report the case of an 83-year-old Caucasian woman who presented with a five-month history of pneumaturia and fecaluria and an acute episode of macrohematuria, leading to a high clinical suspicion of a colovesical fistula. The fistula was confirmed by standard contrast-enhanced computed tomography. Optical colonoscopy was performed to exclude the presence of an underlying colonic neoplasm. Since optical colonoscopy was incomplete, computed tomography colonography was performed, but also failed due to inadequate colon distension. The insufflated air directly accumulated within the bladder via the large fistula.

ConclusionsClinicians should consider colovesical fistula as a potential reason for computed tomography colonography failure.

Electronic supplementary materialThe online version of this article doi:10.1186-1752-1947-6-214 contains supplementary material, which is available to authorized users.

Download fulltext PDF



Autor: Angeliki Neroladaki - Romain Breguet - Diomidis Botsikas - Sylvain Terraz - Christoph D Becker - Xavier Montet

Fuente: https://link.springer.com/







Documentos relacionados