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58_237.pdf | 1.86 MB | Adobe PDF | 見る/開く |
タイトル: | S状結腸膀胱瘻に対する腹腔鏡下膀胱部分切除4カ月後に膀胱破裂をきたしたクローン病の1例 |
その他のタイトル: | A Case of Crohn's Disease Developing Bladder Rupture 4 Months after Laparoscopic Sigmoidectomy with Partial Cystectomy for Vesicosigmoidal Fistula |
著者: | 舛森, 直哉 田中, 俊明 竹内, 基 市原, 浩司 井上, 隆太 新海, 信雄 前鼻, 健史 水野, 孝祐 田端, 秀敏 桧山, 佳樹 塚本, 泰司 |
著者名の別形: | Masumori, Naoya Tanaka, Toshiaki Takeuchi, Motoi Ichihara, Koji Inoue, Ryuta Shinkai, Nobuo Maehana, Takeshi Mizuno, Takahiro Tabata, Hidetoshi Hiyama, Yoshiki Tsukamoto, Taiji |
キーワード: | Crohn's disease Vesicosigmoidal fistula Laparoscopic partial cystectomy Bladder rupture |
発行日: | May-2012 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 58 |
号: | 5 |
開始ページ: | 237 |
終了ページ: | 241 |
抄録: | A 32-year-old well-nourished man having a vesicosigmoidal fistula due to Crohn's disease received laparoscopic sigmoidectomy with partial cystectomy. The bladder wall was closed with an all-layer running suture and additional interrupted sutures using 2-0 Vicryl. Four months after surgery, the suture site on the bladder showed perforation to the abdominal cavity. Since the same event occurred again 6 months after surgery, open partial cystectomy was performed to repair the perforated site 8 months after the initial surgery. The perforated site showed a thinning bladder wall composed of normal urothelium, scar tissue and thin detrusor muscle. Non-caseating granuloma was not found in the specimen, even though it was slightly observed in the margin of the detrusor muscle resected in the initial surgery. Although it was possible that the persisting activity of Crohn's disease, subclinical impaired nutrition due to Crohn's disease or insufficient suturing of the bladder wall were involved in the bladder rupture, the definitive cause remains unknown. |
著作権等: | 許諾条件により本文は2013-06-01に公開 |
URI: | http://hdl.handle.net/2433/157952 |
PubMed ID: | 22767277 |
出現コレクション: | Vol.58 No.5 |
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