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Direct radionuclide cystography imaging in colovesical fistula due to inguinal hernia operation complication

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Abstract

Colovesical fistula is an abnormal connection between the enteric and urinary systems, usually sigmoid colon, caused by various conditions. One cause of colovesical fistula is iatrogenic injury, such as induced by inguinal hernia surgery. We present a case of colovesical fistula. A 57-year-old male was admitted to a local hospital with complaints of dysuria and pneumaturia. He had a past history of total extraperitoneal laparoscopic inguinal hernia repair operation 7 years previously for bilateral inguinal hernia. The case was assessed with radiologic and scintigraphic techniques. Radiologic techniques (plain abdominal radiography, intravenous pyelogram, ultrasound examination, double-contrast barium enema, CT, MRI) were inadequate to determine the colovesical fistula. The colovesical fistula was visualized with direct radionuclide voiding cystography as an alternative scintigraphic method.

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Authors and Affiliations

  1. Department of Nuclear Medicine, Okmeydani Training and Research Hospital, 21 Zincirlikuyu, Kagithane, 34400, Istanbul, Turkey

    Muge Tamam, Hatice Sümeyye Yavuz, Şerafettin Hacımahmutoğlu, Mehmet Mülazımoğlu, Tulay Kacar & Tevfik Ozpacacı

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  1. Muge Tamam
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  2. Hatice Sümeyye Yavuz
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  3. Şerafettin Hacımahmutoğlu
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  4. Mehmet Mülazımoğlu
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  5. Tulay Kacar
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  6. Tevfik Ozpacacı
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Correspondence to Muge Tamam.

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Tamam, M., Yavuz, H.S., Hacımahmutoğlu, Ş. et al. Direct radionuclide cystography imaging in colovesical fistula due to inguinal hernia operation complication. Ann Nucl Med 23, 693–696 (2009). https://doi.org/10.1007/s12149-009-0276-y

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  • DOI: https://doi.org/10.1007/s12149-009-0276-y

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