MAG3 SPECT/CT Detection of Vesicocolic Fistula in Genitourinary Tuberculosis.
case_report · Level V
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- Record sourced from PubMed, PMID 42545118.
- Also identified by DOI 10.1097/RLU.0000000000006618.
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Abstract
Enterovesical fistula is a rare complication of genitourinary tuberculosis and may be difficult to diagnose, particularly in the setting of impaired renal function. We report a 41-year-old woman with chronic kidney disease and bilateral obstructive uropathy secondary to treated genitourinary tuberculosis. 99m Tc MAG3 renography demonstrated a nonfunctioning left kidney and preserved right renal function without obstruction. Delayed images revealed abnormal tracer propagation from the urinary bladder into bowel loops. SPECT/CT localized the tracer within the colon, confirming a vesicocolic fistula.
Medical subject headings
- Single Photon Emission Computed Tomography Computed Tomography
- Urinary Bladder Fistula
- Tuberculosis, Urogenital
- Tomography, Emission-Computed, Single-Photon