ダウンロード数: 3016
このアイテムのファイル:
ファイル | 記述 | サイズ | フォーマット | |
---|---|---|---|---|
44_513.pdf | 8.61 MB | Adobe PDF | 見る/開く |
タイトル: | S状結腸憩室炎に起因した結腸膀胱腟瘻の1例 |
その他のタイトル: | A case of colo-vesico-vaginal fistula caused by sigmoid colon diverticulitis |
著者: | 安士, 正裕 村石, 修 湯澤, 政行 徳江, 章彦 |
著者名の別形: | YASHI, Masahiro MURAISHI, Osamu YUZAWA, Masayuki TOKUE, Akihiko |
キーワード: | Colo-vesico-vaginal fistula Sigmoid colon diverticulitis Fibrin glue |
発行日: | Jul-1998 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 44 |
号: | 7 |
開始ページ: | 513 |
終了ページ: | 515 |
抄録: | A 74-year-old woman was referred to our hospital with the chief complaints of pneumaturia, fecaluria and discharge of feces and urine from vagina. Fistulography on the vaginal side showed the presence of contrast medium both in the sigmoid colon and bladder. Colonoscopy revealed multiple diverticulosis of the sigmoid colon. Under diagnosis of colo-vesico-vaginal fistula due to sigmoid colon diverticulitis, a one-stage operation removing sigmoid colon, uterus-vaginal wall and urinary bladder wall including the fistula and careful reconstruction was performed. Postoperatively, urinary leakage from vagina in large amounts continued due to the recurrence of vesico-vaginal fistula. An attempt to use human fibrin glue in the recurrent fistula was successful, and the patient was asymptomatic at 21 months of follow-up. Colovesical fistula has been reported in about 10-20% of patients undergoing surgery for complicated diverticulitis, but a combined fistula is a rare condition. Furthermore, we recommend the use of human fibrin glue for a recurrent fistula. |
URI: | http://hdl.handle.net/2433/116211 |
PubMed ID: | 9752610 |
出現コレクション: | Vol.44 No.7 |
このリポジトリに保管されているアイテムはすべて著作権により保護されています。