CT in the diagnosis of enterovesical fistulae

Conference · Sat Jun 01 04:00:00 EDT 1985 · AJR, Am. J. Roentgenol.; (United States)

OSTI ID:5476026

Goldman, S M; Fishman, E K; Gatewood, O M.B.; Jones, B; Siegelman, S S

Enterovesical fistulae are difficult to demonstrate by conventional radiographic methods. Computed tomography (CT), a sensitive, noninvasive method of documenting the presence of such fistulae, is unique in its ability to outline the extravesical component of the primary disease process. Twenty enterovesical fistulae identified by CT were caused by diverticulitis (nine), carcinoma of the rectosigmoid (two), Crohn disease (three), gynecologic tumors (two), bladder cancer (one), cecal carcinoma (one), prostatic neoplasia (one), and appendiceal abscess (one). The CT findings included intravesical air (90%), passage of orally or rectally administered contrast medium into the bladder (20%), focal bladder-wall thickening (90%), thickening of adjacent bowel wall (85%), and an extraluminal mass that often contained air (75%). CT proved to be an important new method in the diagnosis of enterovesical fistulae.

• Research Organization: Johns Hopkins Univ., Baltimore, MD
• OSTI ID: 5476026
• Report Number(s): CONF-860416-
• Conference Information: Journal Name: AJR, Am. J. Roentgenol.; (United States) Journal Volume: 144:6
• Country of Publication: United States
• Language: English

Related Subjects

550602* -- Medicine-- External Radiation in Diagnostics-- (1980-)
62 RADIOLOGY AND NUCLEAR MEDICINE
ABDOMEN
ABSCESSES
BLADDER
BODY
BODY AREAS
CARCINOMAS
COMPUTERIZED TOMOGRAPHY
DIAGNOSIS
DIAGNOSTIC TECHNIQUES
DIGESTIVE SYSTEM
DISEASES
FISTULAE
GASTROINTESTINAL TRACT
INTESTINES
MALFORMATIONS
NEOPLASMS
ORGANS
PATHOLOGICAL CHANGES
TOMOGRAPHY
URINARY TRACT