Ietsugu Kenichi, Nakashima Hisayuki, Kosugi Mitsuyo, Misaki Toshimitsu, Kakuda Kiyoshi, Terahata Shintaro
Division of Surgery, Tonami General Hospital, Toyama, Japan.
Surg Today. 2002;32(10):916-8. doi: 10.1007/s005950200181.
We report a case of multiple ileal diverticula causing an ileovesical fistula in an 85-year-old man. The patient was admitted for investigation and treatment of intractable urethrocystitis, which he had suffered for 5 years. Cystography showed an ileovesical fistula, and contrast study of the small bowel revealed about 80 diverticula in the ileum. The segment involved by diverticula was resected and a pathological diagnosis of diverticulitis leading to ileovesical fistula was confirmed. His postoperative clinical course was uneventful.
我们报告一例85岁男性因多发性回肠憩室导致回肠膀胱瘘的病例。该患者因顽固性尿道膀胱炎入院接受检查和治疗,他已患病5年。膀胱造影显示存在回肠膀胱瘘,小肠造影显示回肠有约80个憩室。切除了受累于憩室的肠段,病理诊断为憩室炎导致回肠膀胱瘘,术后临床过程顺利。