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炎症性肠病所致的肠膀胱瘘

Enterovesical fistula caused by inflammatory bowel diseases.

作者信息

Miyashita M, Hao K, Matsuda T, Hayashi T, Onda M

机构信息

Department of Surgery, National Yokosuka Hospital, Japan.

出版信息

Nihon Ika Daigaku Zasshi. 1992 Dec;59(6):467-70. doi: 10.1272/jnms1923.59.467.

Abstract

Enterovesical fistula caused by inflammatory bowel diseases is a rare disorder. Two male patients with recurrent cystitis had sigmoid colon diverticulitis causing enterovesical fistula. One female patient with Crohn's disease developed enterovesical fistula with abdominal and urinary symptoms. In each patient, a barium enema revealed causative bowel diseases. The precise diagnosis of enterovesical fistula was made either by cystography or cystoscopy. One-stage resection of the inflamed bowel with fistula and affected the bladder wall was proved to be an effective treatment for these three patients, while a long term follow up is specifically necessary in the patient with Crohn's disease.

摘要

炎症性肠病引起的肠膀胱瘘是一种罕见的疾病。两名患有复发性膀胱炎的男性患者患有乙状结肠憩室炎,导致肠膀胱瘘。一名患有克罗恩病的女性患者出现了伴有腹部和泌尿系统症状的肠膀胱瘘。在每位患者中,钡灌肠检查均显示出导致该病的肠道疾病。肠膀胱瘘的准确诊断通过膀胱造影或膀胱镜检查做出。对这三名患者而言,一期切除伴有瘘管的发炎肠道及受影响的膀胱壁被证明是一种有效的治疗方法,而对于患有克罗恩病的患者,长期随访尤为必要。

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