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Colonic Visualization of 99mTc-DMSA Due to Enterovesical Fistula.
- Source :
-
Clinical nuclear medicine [Clin Nucl Med] 2021 Jan; Vol. 46 (1), pp. 66-68. - Publication Year :
- 2021
-
Abstract
- A 60-year-old woman with recurrent urinary tract infection who had several operations for colorectal carcinoma underwent Tc-DMSA renal scintigraphy which showed an unexpected accumulation of radiotracer in the colon. When symptoms were reviewed, we noticed that she was suffering from pneumaturia and fecaluria which raised the suspicion of enterovesical fistula. Rectal contrast-enhanced computer tomography of pelvis demonstrated enterovesical and enterovaginal fistulas. Colonic radioactivity was considered to be related to retrograde peristalsis of Tc-DMSA from bladder activity via enterovesical fistula. In patients with pelvic surgeries and radiotherapy, radioactivity in the colon should raise the suspicion of enterovesical fistula.
- Subjects :
- Adult
Colon pathology
Cystography
Female
Humans
Intestinal Fistula complications
Tomography, X-Ray Computed
Urinary Bladder Fistula complications
Urinary Tract Infections complications
Colon diagnostic imaging
Intestinal Fistula diagnostic imaging
Technetium Tc 99m Dimercaptosuccinic Acid
Urinary Bladder Fistula diagnostic imaging
Subjects
Details
- Language :
- English
- ISSN :
- 1536-0229
- Volume :
- 46
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Clinical nuclear medicine
- Publication Type :
- Academic Journal
- Accession number :
- 33181753
- Full Text :
- https://doi.org/10.1097/RLU.0000000000003386