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Title: 回腸新膀胱造設術10年後に新膀胱小腸瘻を形成した1例
Other Titles: An Ileal Neobladder-Enteric Fistula 10 Years after a Radical Cystectomy with Ileal Neobladder Construction
Authors: 土肥, 洋一郎  KAKEN_name
武田, 繁雄  KAKEN_name
山本, 明広  KAKEN_name
佐倉, 雄馬  KAKEN_name
杉元, 幹史  KAKEN_name
筧, 善行  KAKEN_name
Author's alias: Tohi, Yoichiro
Taketa, Shigeo
Yamamoto, Akihiro
Sakura, Yuma
Sugimoto, Mikio
Kakehi, Yoshiyuki
Keywords: Bladder cancer
Ileal neobladder-enteric fistula
Issue Date: Dec-2014
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要 = Acta urologica Japonica
Volume: 60
Issue: 12
Start page: 631
End page: 633
Abstract: A 67-year-old male underwent a radical cystectomy and ileal neobladder construction in September 2002. He developed adhesive ileus postoperatively and underwent an intestine-ascending colon bypass operation with a side-to-side anastomosis in December of 2002. Subsequently, the patient developed ileus frequently, which improved with conservative management. In February 2013, he had fecaluria and was diagnosed with an ileal neobladder-enteric fistula based on computed tomography 2 hours after contrast medium injection. He underwent closure of the intestinal anal side of the anastomosis between the intestine and ascending colon. The fecaluria disappeared and he is making steady progress. An ileal neobladderenteric fistula as a long-term postoperative complication of ileal neobladder construction is extremely rare, with no other reports to our knowledge. Here, we discuss its cause, diagnosis and treatment, with reference to previous reports.
Rights: 許諾条件により本文は2016/01/01に公開
PubMed ID: 25602480
Appears in Collections:Vol. 60 No. 12

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