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Title: CT in the diagnosis of enterovesical fistulae

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.
Authors:
; ; ; ;
Publication Date:
OSTI Identifier:
5476026
Report Number(s):
CONF-860416-
Journal ID: CODEN: AAJRD; TRN: 85-019521
Resource Type:
Conference
Resource Relation:
Journal Name: AJR, Am. J. Roentgenol.; (United States); Journal Volume: 144:6; Conference: ARRS meeting, Washington, DC, USA, 14 Apr 1986
Research Org:
Johns Hopkins Univ., Baltimore, MD
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ABDOMEN; COMPUTERIZED TOMOGRAPHY; BLADDER; FISTULAE; DIAGNOSIS; ABSCESSES; CARCINOMAS; INTESTINES; MALFORMATIONS; BODY; BODY AREAS; DIAGNOSTIC TECHNIQUES; DIGESTIVE SYSTEM; DISEASES; GASTROINTESTINAL TRACT; NEOPLASMS; ORGANS; PATHOLOGICAL CHANGES; TOMOGRAPHY; URINARY TRACT 550602* -- Medicine-- External Radiation in Diagnostics-- (1980-)