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タイトル: | クローン病による回腸膀胱痩の1例 |
その他のタイトル: | Ileovesical fistula complicating Crohn's disease: a case report |
著者: | 水永, 光博 内田, 亮彦 朴, 英哲 国方, 聖司 栗田, 孝 |
著者名の別形: | MIZUNAGA, Mitsuhiro UCHIDA, Akihiko PARK, Young-Chol KUNIKATA, Seiji KURITA, Takashi |
キーワード: | Crohn's disease Ileovesical fistula |
発行日: | Jul-1989 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 35 |
号: | 7 |
開始ページ: | 1223 |
終了ページ: | 1227 |
抄録: | A 43-year-old woman was admitted on October 6, 1987 with the chief complaint of fecaluria, pneumaturia and miction pain. She had been diagnosed as Crohn's disease in March, 1987. Urinalysis revealed numerous leucocytes, and streptococcus faecium was identified by urine culture. Contrast film of small intestines showed ileovesical fistula arising from terminal ileum. Cystoscopy revealed a papillary tumor-like appearance at the dome of the bladder. An operation was performed on November 9 under the diagnosis of ileovesical fistula complicating Crohn's disease. It was found that ileal region formed a hard adhesion to the bladder wall. Partial resection of the ileum and bladder was performed. Ileovesical fistula was found in the adhesion. Histological diagnosis of the affected ileum was Crohn's disease, showing noncaseating granuloma with the multinucleated giant cells. This case is the first report of female urological complication of the Crohn's disease in the Japanese literature. |
URI: | http://hdl.handle.net/2433/116591 |
PubMed ID: | 2678984 |
出現コレクション: | Vol.35 No.7 |
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