Combination of CT imaging and endoscopy in diagnosis of appendicovesical fistula caused by appendiceal adenocarcinoma.

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Title: Combination of CT imaging and endoscopy in diagnosis of appendicovesical fistula caused by appendiceal adenocarcinoma.
Authors: Wang, Wenying1, Wang, Li2, Xu, Jianfeng2, Shi, Shufang3, Tian, Ye1, Zhang, Yuanyuan4
Source: Journal of X-Ray Science & Technology. 2014, Vol. 22 Issue 4, p493-501. 9p.
Subjects: Appendix diseases, Computed tomography, Endoscopy, Adenocarcinoma, Symptoms, X-ray imaging, Diagnosis
Abstract: The appendiceal diseases, particularly appendicitis, are the most common disorders in the digestive system localized at the right lower quadrant area. However, appendiceal carcinoma with vesico-appendiceal fistula is a rare clinical phenomenon. Lacking specific symptoms, appendiceal carcinomas with fistula formations are often misdiagnosed as acute appendicitis cases. The purpose of this study is to increase awareness of appendiceal neoplasms and appendicovesical fistulas. We reported our experiences in three complex cases related to digestive and urological systems, and reviewed the literature on diagnosis with various X-ray imaging techniques for this lesion. In this report, the first case failed to be diagnosed. The other two patients with appendicovesical fistulas secondary to appendiceal adenocarcinomas were successfully detected with computed tomography (CT) and cystoscopy. The patients recovered after right hemicolectomies and en bloc partial cystectomies and survived without tumor metastasis up to 7-year follow-up. In conclusion, a combined use of CT imaging and endoscopy techniques provides an accurate diagnostic alternative for appendicovesical fistula secondary to appendiceal adenocarcinoma. [ABSTRACT FROM AUTHOR]
Copyright of Journal of X-Ray Science & Technology is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Engineering Source
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DbLabel: Engineering Source
An: 97270325
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PubType: Academic Journal
PubTypeId: academicJournal
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  Data: Combination of CT imaging and endoscopy in diagnosis of appendicovesical fistula caused by appendiceal adenocarcinoma.
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  Data: <searchLink fieldCode="AR" term="%22Wang%2C+Wenying%22">Wang, Wenying</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Wang%2C+Li%22">Wang, Li</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Xu%2C+Jianfeng%22">Xu, Jianfeng</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Shi%2C+Shufang%22">Shi, Shufang</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Tian%2C+Ye%22">Tian, Ye</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Zhang%2C+Yuanyuan%22">Zhang, Yuanyuan</searchLink><relatesTo>4</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+X-Ray+Science+%26+Technology%22">Journal of X-Ray Science & Technology</searchLink>. 2014, Vol. 22 Issue 4, p493-501. 9p.
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  Data: <searchLink fieldCode="DE" term="%22Appendix+diseases%22">Appendix diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Computed+tomography%22">Computed tomography</searchLink><br /><searchLink fieldCode="DE" term="%22Endoscopy%22">Endoscopy</searchLink><br /><searchLink fieldCode="DE" term="%22Adenocarcinoma%22">Adenocarcinoma</searchLink><br /><searchLink fieldCode="DE" term="%22Symptoms%22">Symptoms</searchLink><br /><searchLink fieldCode="DE" term="%22X-ray+imaging%22">X-ray imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnosis%22">Diagnosis</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: The appendiceal diseases, particularly appendicitis, are the most common disorders in the digestive system localized at the right lower quadrant area. However, appendiceal carcinoma with vesico-appendiceal fistula is a rare clinical phenomenon. Lacking specific symptoms, appendiceal carcinomas with fistula formations are often misdiagnosed as acute appendicitis cases. The purpose of this study is to increase awareness of appendiceal neoplasms and appendicovesical fistulas. We reported our experiences in three complex cases related to digestive and urological systems, and reviewed the literature on diagnosis with various X-ray imaging techniques for this lesion. In this report, the first case failed to be diagnosed. The other two patients with appendicovesical fistulas secondary to appendiceal adenocarcinomas were successfully detected with computed tomography (CT) and cystoscopy. The patients recovered after right hemicolectomies and en bloc partial cystectomies and survived without tumor metastasis up to 7-year follow-up. In conclusion, a combined use of CT imaging and endoscopy techniques provides an accurate diagnostic alternative for appendicovesical fistula secondary to appendiceal adenocarcinoma. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of X-Ray Science & Technology is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.3233/XST-140440
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      – Code: eng
        Text: English
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        PageCount: 9
        StartPage: 493
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      – SubjectFull: Appendix diseases
        Type: general
      – SubjectFull: Computed tomography
        Type: general
      – SubjectFull: Endoscopy
        Type: general
      – SubjectFull: Adenocarcinoma
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      – SubjectFull: Symptoms
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      – SubjectFull: X-ray imaging
        Type: general
      – SubjectFull: Diagnosis
        Type: general
    Titles:
      – TitleFull: Combination of CT imaging and endoscopy in diagnosis of appendicovesical fistula caused by appendiceal adenocarcinoma.
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            NameFull: Wang, Wenying
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            NameFull: Wang, Li
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            NameFull: Shi, Shufang
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            NameFull: Tian, Ye
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            NameFull: Zhang, Yuanyuan
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              Text: 2014
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              Y: 2014
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