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タイトル: S状結腸膀胱凄の1例
その他のタイトル: A case of vesicosigmoidal fistula
著者: 杉山, 高秀  KAKEN_name
門脇, 照雄  KAKEN_name
著者名の別形: SUGIYAMA, Takahide
KADOWAKI, Teruo
キーワード: Vesicosigmoidal fistula
Sigmoid diverticulitis
発行日: Apr-1988
出版者: 泌尿器科紀要刊行会
誌名: 泌尿器科紀要
巻: 34
号: 4
開始ページ: 692
終了ページ: 695
抄録: The clinical course of a case of vesicosigmoidal fistula is presented. The patient, a 76-year-old woman, became aware of terminal micturition pain and pollakisuria in February, 1985. She was first treated under the diagnosis of cystitis to be relieved of her subjective symptoms, although there was no improvement of pyuria. She also began to feel lower abdominal pain on April 3, 1985. After various examinations including intravenous pyelography, enteroclysis and cystoscopy the diagnosis of vesicosigmoidal fistula originating from sigmoid diverticulitis was established. Careful observation at operation revealed remarkable adhesion among the sigmoid colon, bladder, uterus and left ovary. The sigmoid colon, was resected followed by end-to-end anastomosis. Because of considerably extensive inflammatory changes over the mucosal membrane of the bladder, the hole of fistula on the vesical wall was simply closed from outside of the bladder without performing partial cystectomy. Histological examination only demonstrated non-specific inflammatory changes without evidence of malignancy. She had a favorable progress postoperatively.
URI: http://hdl.handle.net/2433/119529
PubMed ID: 3041780
出現コレクション:Vol.34 No.4

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