膀胱乙状结肠瘘1例
Journal of China Clinic Medical Imaging（2017）
Abstract
病例 女,66岁,主因"左下腹痛3月余,尿频、尿急、尿痛1月余,粪尿2周"收住入院.尿常规:白细胞550μL-1,红细胞4430μL-1,细菌16624μL-1;便常规OB (+);血白细胞及分类正常,血CEA、CA19-9等肿瘤指标均无异常.泌尿系超声(图1~4):膀胱充盈尚可,膀胱腔内沉积物较多,膀胱内积气,膀胱左后壁低回声包块,范围约5.1 cm×2.0 cm,边界不清,形态不规则,内见少量血流信号,引出动脉频谱,PSV 0.10 m/s,RI:0.35,低回声包块内见强回声气体,与相邻肠腔相通,低回声包块与子宫前壁分界不清.
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