Teichman J M, Lilly J D, Schmidt J D
Department of Urology, University of California, San Diego.
J Urol. 1991 Jan;145(1):144-5. doi: 10.1016/s0022-5347(17)38273-3.
A 35-year-old man with the acquired immunodeficiency syndrome-related complex was evaluated for a persistent urethral discharge, pneumaturia and watery diarrhea. Radiographic and endoscopic procedures established the diagnosis of a rectourethral fistula. Perineal exploration and excision of the fistula revealed the pathological diagnosis of Kaposi's sarcoma. The differential diagnosis of an acquired rectourethral fistula and the significance of Kaposi's sarcoma are discussed.
一名患有获得性免疫缺陷综合征相关综合征的35岁男性,因持续性尿道分泌物、气尿和水样腹泻接受评估。影像学和内镜检查确诊为直肠尿道瘘。经会阴探查和瘘管切除术后,病理诊断为卡波西肉瘤。本文讨论了获得性直肠尿道瘘的鉴别诊断以及卡波西肉瘤的意义。