Colovesical Fistula Demonstrated on Renal Cortical Scintigraphy
| Autor: | Maria Stathaki, Elisavet Papadimitraki, Lampros Vamvakas, Nikolaos Karkavitsas, Angeliki Tsaroucha, Emmanouela Papadaki |
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| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty Colovesical fistula Kidney Cortex Bowel habit Renal cortex Scintigraphy Intestinal Fistula medicine Rectal Adenocarcinoma Humans Ascending colon Radiology Nuclear Medicine and imaging Radionuclide Imaging Aged Ultrasonography medicine.diagnostic_test business.industry General Medicine Extravasation Hematochezia medicine.anatomical_structure Technetium Tc 99m Dimercaptosuccinic Acid Radiology medicine.symptom Tomography X-Ray Computed business |
| Zdroj: | Clinical Nuclear Medicine. 37:1112-1114 |
| ISSN: | 0363-9762 |
| DOI: | 10.1097/rlu.0b013e31826c0d27 |
| Popis: | A 70-year-old man with a history of weight loss, changes in bowel habits, and hematochezia had rectal adenocarcinoma. He was palliated with diverting colostomy, followed by radiochemotherapy. Bilateral hydronephrosis was found incidentally on lower abdominal CT scan. He underwent 99mTc dimercaptosuccinic acid scan prior to percutaneous nephrostomy tube placement. Apart from the renal cortex, scintigraphy showed activity in the ascending colon continuous to the activity of the bladder. This indicated urine extravasation on account of a colovesical fistula, complicating postoperative radiation treatment. Here we highlight the contribution of renal cortical scintigraphy in the detection of colovesical fistulas. |
| Databáze: | OpenAIRE |
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