Yoshimura N, Ogawa O, Nishimura K, Nakagawa T, Yokoo N
Hinyokika Kiyo. 1984 Jun;30(6):775-9.
Clinical course of a case of inflammatory vesicosigmoidal fistula is presented. The patient, a 44-year-old-male, had chief complaints of pollakisuria and pain upon voiding. Fistula was identified with colon-fiberscopic examination. Primary resection of lesion was performed and postoperative course was uneventful. Histological findings of the specimen were compatible with those of nonspecific inflammation. There was no evidence of neoplastic change. Twenty nine cases of inflammatory vesicosigmoidal fistula were reported in the recent 5 years. It was remarkable that the cases of vesicosigmoidal fistula due to sigmoidal diverticulitis have increased.
本文介绍了一例炎症性膀胱乙状结肠瘘的临床病程。患者为44岁男性，主要症状为尿频和排尿疼痛。通过结肠纤维镜检查发现瘘管。对病变进行了一期切除，术后病程顺利。标本的组织学检查结果与非特异性炎症相符。没有肿瘤性改变的证据。最近5年共报道了29例炎症性膀胱乙状结肠瘘。值得注意的是，由乙状结肠憩室炎引起的膀胱乙状结肠瘘病例有所增加。
