克隆病膀胱病变四例报告  

Urinary bladder lesion of Crohn disease (report of 4 cases)

作　　者：王行环[1] 王怀鹏[1] 古维灿[1] 马胜利[2] 罗则民[1] 庄恒国[3] 

机构地区：[1]广东省人民医院泌尿外科,广州510080 [2]武汉大学中南医院泌尿外科 [3]广东省人民医院病理科,广州510080

出　　处：《中华泌尿外科杂志》2002年第7期407-409,共3页Chinese Journal of Urology

摘　　要：目的　探讨克隆 (Crohn)病膀胱病变的临床表现、诊断与治疗。　方法　回顾性分析 4例克隆病膀胱病变临床资料并结合文献复习。　结果　 4例中 2例曾表现为急性阑尾炎型 ,1例形成回肠膀胱瘘 ,3例形成肿瘤样非干酪性肉芽肿性膀胱肿块。 4例术前均未确诊 ,术后病理诊断为克隆病膀胱病变。　结论　非肿瘤引起的回肠膀胱瘘或膀胱肿块镜检发现膀胱顶部特征性乳头状粘膜增生结节和大泡样水肿者即使无肠道表现亦应考虑克隆病。治疗中切除受累膀胱壁是必要的。Objective To study the pathogenesis, diagnosis and treatment of Crohn disease of urinary bladder. Methods 4 cases of Crohn diseases of urinary bladder treated were reviewed. Results 2 cases manifestated clinically as acute appendicitis,resultig in enterovesical fistulas formation in 1.Granulomatous pseudotumors were observed on cystoscopy in 3.The diagnosis was missed preoperatively in all the 4,being finally acertained on pathological studies. Conclusions In case of an ileovesical fistulas of unknown cause or the finding of papollomatous mucosal hyperplasia and bullous edema on cystoscopy,Crohn disease of the bladder should be thought of.Resection of the involved bladder wall will be necessary.

关 键 词：克隆病 膀胱病变 回肠膀胱瘘 临床表现 诊断 治疗 

分 类 号：R694[医药卫生—泌尿科学]