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[Unusual presentation of sigmoid diverticulitis. Sigmoid-vesical fistula in sigmoid diverticulitis].

  • Jöres AP Institut für Diagnostische, Interventionelle und Pädiatrische Radiologie, Inselspital, Universitätsspital Bern, CH-3010, Bern, Schweiz.
  • Probst P
  • 2011-07-13
Published in:
  • Der Radiologe. - 2011
Abscess
Biopsy
Cystoscopy
Diverticulitis, Colonic
Extravasation of Diagnostic and Therapeutic Materials
Humans
Image Interpretation, Computer-Assisted
Intestinal Fistula
Male
Sigmoid Diseases
Tomography, X-Ray Computed
Ultrasonography
Urinary Bladder
Urinary Bladder Diseases
Urinary Bladder Fistula
Urography
English A 68-year-old male patient presented with mild tenderness in the suprasymphyseal region, hematuria and dysuria. In this case typical symptoms of a sigmoid-vesical fistula were initially absent. Because of hematuria and the findings provided by urethrocystoscopy, the radiological diagnosis was a bladder tumor. Contrast-enhanced computed tomography with rectal contrast administration provided the decisive information. In addition to sigmoid diverticulitis (fat stranding/centipede sign) in the urographic phase, contrast media was well traceable intraluminally from the bladder through the bladder wall abscess and subsequently in the sigmoid colon.
Language
  • English
Open access status
green
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https://sonar.ch/global/documents/192506
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