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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 門脇, 照雄 |
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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