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乙状结肠憩室炎中的结肠膀胱瘘

Colovesical fistulae in the sigmoid diverticulitis.

作者信息

Cirocchi R, La Mura F, Farinella E, Napolitano V, Milani D, Di Patrizi M S, Trastulli S, Covarelli P, Sciannameo F

机构信息

Università degli Studi di Perugia, Ospedale S. Maria di Terni, Chirurgia Generale e d'Urgenza, Scuola di Specializzazione in Chirurgia Generale.

出版信息

G Chir. 2009 Nov-Dec;30(11-12):490-2.

Abstract

In most cases Colovesical fistulae are complications of diverticular disease and representing the most common kind of colodigestive fistula; less common are colovaginal, colocutaneous, coloenteric and colouterine fistula. In this article we review the literature concerning colovesical fistulae in colorectal surgery for sigmoid diverticulitis and report on two cases that required a surgical treatment, one elective and the other in emergency. In both cases we performed a sigmoid resection with a primary anastomosis and small vesical window-ectomy placing a Foley catheter for about 10 days.

摘要

在大多数情况下,结肠膀胱瘘是憩室病的并发症,是最常见的结肠消化瘘;结肠阴道瘘、结肠皮肤瘘、结肠肠瘘和结肠子宫瘘则较少见。在本文中,我们回顾了有关乙状结肠憩室炎结直肠手术中结肠膀胱瘘的文献,并报告了两例需要手术治疗的病例,一例为择期手术,另一例为急诊手术。在这两例手术中,我们均进行了乙状结肠切除并一期吻合,同时进行了小膀胱开窗切除术,并放置Foley导尿管约10天。

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