医学影像英语每日读丨117.Colovesicle Fistulae

每天朗读一段医学影像学英语文章

朗读者：妙然

In this case I ask you for the best diagnosis. Two images, one 3D, one coronal. You look carefully and what you recognize is, there's soft tissue thickening. And in fact there's communication between the sigmoid colon and the bladder.

Now the best diagnosis is, I guess it could be bladder cancer invading, (this is) the colon. And I guess it could be colon cancer invading the bladder. The most common cause of a colovesicle fistulae however, is diverticulitis. It's not a bladder perforation. This is a colovesicle fistulae. Now you can define it better by giving either rectal contrast, or giving contrast in the bladder and doing a CT cystogram.  In this case it's hard to say there wasn't a tumor present.

This ended up being diverticulitis with a fistulae from the colon to the bladder.Just a very nice example. Other causes of colovesicle fistulae besides that diverticulitis, besides tumors, would include Crohn's disease as well as instrumentation.

Notes:

1. sigmoid colon [ˈsɪɡˌmɔɪd ˈkolən] 乙状结肠

2. bladder [ˈblædɚ] n. 膀胱

3. colovesicle fistulae 结肠膀胱瘘

A colovesical fistula is an uncommon condition. It’s an open connection between the colon (large intestine) and the bladder. This can allow fecal matter from the colon to enter the bladder, causing painful infections and other complications.

4. diverticulitis [ˌdaɪvərtɪkjʊˈlaɪtɪs] n. 憩室炎

5. rectal [ˈrɛktəl] adj. 直肠的

6. cystogram ['sɪstəgræm] n. 膀胱造影

翻译：妙然

【colovesicle fistulae 结肠膀胱瘘】
这个病例的最佳诊断。两张图像，一张是3D图像，一张冠状位。仔细看我们会发现，这里有软组织增厚的表现。实际上，在乙状结肠和膀胱之间有连通。
根据现有信息，我猜最佳诊断可能是膀胱癌，侵犯了结肠。也有可能是结肠癌侵犯了膀胱。但最常见导致结肠膀胱瘘道的原因是憩室炎。这个不是膀胱穿孔。这个是结肠膀胱瘘。我们可以通过直肠注入对比剂或膀胱注入对比剂行CT膀胱造影来更好的确诊。现在还不确定这位患者是否有肿瘤。
最终诊断为憩室炎伴结肠到膀胱的瘘道。很好的一则病例。除了憩室炎，肿瘤，其他导致结肠膀胱瘘的原因还有克罗恩病和机械性伤害。

来源：每天朗读一段医学影像学英语文章

圈主

深圳市人民医院放射科副主任医师杨敏洁

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