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Title: クローン病による回腸膀胱痩の1例
Other Titles: Ileovesical fistula complicating Crohn's disease: a case report
Authors: 水永, 光博  KAKEN_name
内田, 亮彦  KAKEN_name
朴, 英哲  KAKEN_name
国方, 聖司  KAKEN_name
栗田, 孝  KAKEN_name
Author's alias: MIZUNAGA, Mitsuhiro
UCHIDA, Akihiko
PARK, Young-Chol
KURITA, Takashi
Keywords: Crohn's disease
Ileovesical fistula
Issue Date: Jul-1989
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 35
Issue: 7
Start page: 1223
End page: 1227
Abstract: 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.
PubMed ID: 2678984
Appears in Collections:Vol.35 No.7

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