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整块切除术治疗恶性结肠-子宫瘘。

En bloc resection for malignant colouterine fistula.

机构信息

Division of Surgery, Assaf Harofeh Medical Center, 70300, Zerifin, Israel.

出版信息

Tech Coloproctol. 2010 Mar;14(1):37-9. doi: 10.1007/s10151-009-0555-6. Epub 2010 Feb 4.

DOI:10.1007/s10151-009-0555-6
PMID:20130950
Abstract

Colouterine fistula is a rare clinical entity. A literature search revealed only a few reports dealing with this complex problem, mostly resulting as a complication of diverticular disease of the colon. During a 4-month period, we diagnosed and successfully treated 2 women with a malignant colouterine fistula originating from a primary colorectal carcinoma invading the uterus. We herein report on our experience dealing with this kind of pathology, with special emphasis on the surgical technique used to resect the tumoral mass "en bloc".

摘要

结肠-子宫瘘是一种罕见的临床病症。文献检索仅发现少数几篇报道涉及这一复杂问题,且大多是由结肠憩室疾病引起的并发症。在 4 个月期间,我们诊断并成功治疗了 2 例由原发性结直肠癌侵犯子宫引起的恶性结肠-子宫瘘的女性患者。本文报告了我们处理这种病理情况的经验,特别强调了用于整块切除肿瘤的手术技术。

相似文献

1
En bloc resection for malignant colouterine fistula.整块切除术治疗恶性结肠-子宫瘘。
Tech Coloproctol. 2010 Mar;14(1):37-9. doi: 10.1007/s10151-009-0555-6. Epub 2010 Feb 4.
2
Colouterine fistula complicating diverticulitis: a case report and review of the literature.结肠子宫瘘并发憩室炎:一例病例报告及文献综述
Eur J Obstet Gynecol Reprod Biol. 2003 Sep 10;110(1):107-10. doi: 10.1016/s0301-2115(03)00086-1.
3
Colouterine fistula secondary to diverticulitis.
Dis Colon Rectum. 1985 May;28(5):358-60. doi: 10.1007/BF02560442.
4
Enterouterine fistulas: two rare cases of intestinal neoplasms manifested by gynecologic symptoms.
South Med J. 1990 Feb;83(2):235-8.
5
One-stage, en bloc resection for colonic-uterine fistula caused by diverticulitis.一期整块切除治疗憩室炎所致结肠-子宫瘘。
JAMA. 1969 Jan 20;207(3):555-7.
6
Colouterine fistula complicating diverticulitis diagnosed at hysteroscopy: case report.宫腔镜检查诊断的合并憩室炎的阔韧带-子宫瘘:病例报告。
J Minim Invasive Gynecol. 2012 Jan-Feb;19(1):118-21. doi: 10.1016/j.jmig.2011.08.725.
7
Preoperative diagnosis of colouterine fistula secondary to diverticulitis by sonohysterography with contrast medium.经阴道超声造影术前诊断憩室炎继发的结肠子宫瘘
Ultrasound Obstet Gynecol. 2004 Nov;24(6):682-3. doi: 10.1002/uog.1706.
8
Laparoscopic sigmoidectomy combined with uterus excision for colouterine fistula caused by sigmoid colon diverticulitis: A case report.腹腔镜乙状结肠切除术联合子宫切除术治疗乙状结肠憩室炎所致结肠子宫瘘:一例报告
Asian J Endosc Surg. 2017 Nov;10(4):415-419. doi: 10.1111/ases.12378. Epub 2017 May 29.
9
A case of colouterine fistula managed laparoscopically.
J Minim Invasive Gynecol. 2008 Sep-Oct;15(5):652-4. doi: 10.1016/j.jmig.2008.06.014.
10
Single-incision laparoscopic (SIL) sigmoid colectomy and uterus-preserving repair for colo-uterine fistula secondary to severe diverticular disease: an unusual technical solution for an unusual presentation of a common disease.单孔腹腔镜下乙状结肠切除术及保留子宫修复术治疗严重憩室病继发的结肠子宫瘘:一种针对常见疾病罕见表现的特殊技术解决方案
BMJ Case Rep. 2016 May 13;2016:bcr2016214895. doi: 10.1136/bcr-2016-214895.

引用本文的文献

1
A case of pyometra with a colouterine fistula due to rectal cancer presenting as acute abdomen.一例因直肠癌导致子宫积脓并伴有结肠子宫瘘,表现为急腹症的病例。
J Surg Case Rep. 2020 Aug 26;2020(8):rjaa237. doi: 10.1093/jscr/rjaa237. eCollection 2020 Aug.
2
Single-incision laparoscopic (SIL) sigmoid colectomy and uterus-preserving repair for colo-uterine fistula secondary to severe diverticular disease: an unusual technical solution for an unusual presentation of a common disease.单孔腹腔镜下乙状结肠切除术及保留子宫修复术治疗严重憩室病继发的结肠子宫瘘:一种针对常见疾病罕见表现的特殊技术解决方案
BMJ Case Rep. 2016 May 13;2016:bcr2016214895. doi: 10.1136/bcr-2016-214895.
3

本文引用的文献

1
Comparison of multivisceral resection and standard operation for locally advanced colorectal cancer: analysis of prognostic factors for short-term and long-term outcome.局部进展期结直肠癌多脏器切除与标准手术的比较:短期和长期预后的预后因素分析
Dis Colon Rectum. 2004 Dec;47(12):2055-63. doi: 10.1007/s10350-004-0716-7.
2
Preoperative diagnosis of colouterine fistula secondary to diverticulitis by sonohysterography with contrast medium.经阴道超声造影术前诊断憩室炎继发的结肠子宫瘘
Ultrasound Obstet Gynecol. 2004 Nov;24(6):682-3. doi: 10.1002/uog.1706.
3
Colouterine fistula complicating diverticulitis: a case report and review of the literature.
A 78-Year-Old Woman with Fecaloid Vaginal Discharge.
一名78岁有粪便样阴道分泌物的女性。
Emerg (Tehran). 2015 Fall;3(4):168-9.
4
Colouterine fistula after polymyomectomy: a case report.多发性子宫肌瘤切除术后子宫结肠瘘:一例报告
J Med Case Rep. 2014 Jun 18;8:199. doi: 10.1186/1752-1947-8-199.
结肠子宫瘘并发憩室炎:一例病例报告及文献综述
Eur J Obstet Gynecol Reprod Biol. 2003 Sep 10;110(1):107-10. doi: 10.1016/s0301-2115(03)00086-1.
4
[Colo-uterine fistula, a complication of sigma diverticulitis].结肠子宫瘘,一种乙状结肠憩室炎的并发症
Minerva Chir. 1998 Oct;53(10):827-30.
5
One-stage, en bloc resection for colonic-uterine fistula caused by diverticulitis.一期整块切除治疗憩室炎所致结肠-子宫瘘。
JAMA. 1969 Jan 20;207(3):555-7.