CASE 826: COLONOURINARY BLADDER FISTULA due to DIVERTICULITIS , Dr PHAN THANH HẢI, Dr NGUYỄN KIM HIẾU, MEDIC MEDICAL CENTER, HCMC, VIETNAM

A 51 year-old man with dysuria with bloody urine for 2 weeeks.

Ultrasound detected thickening wall of sigmoid colon which adhered the urinary bladder. And there was a fistula between with air into the urinary bladder.

MSCT  and cystoscopy confirmed a colonourinary fistula.

Result of specimen post-op of the endoscopic surgery was a perforated diverticulitis which made a fistula into the  urinary bladder wall.

CASE 827-828: PARATHYROID TUMOR, Dr PHAN THANH HẢI, Dr LÝ VĂN PHÁI, BS HỒ KHÁNH ĐỨC, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Two cases of parathyroid tumor detected by ultrasound. The parathyroid tumor were solid, hypoechoic pattern while in normal case of  parathyroid gland may seen with hyperechoic pattern. Sometime it is mimiking as a thyroid nodule.

PTH and  blood calcium were decreased their values when the parathyroid were removed.

 

Case 1

Case 2