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[A case of vesicosigmoidal fistula].
Hinyokika Kiyo. 1988 Apr; 34(4):692-5.HK

Abstract

The clinical course of a case of vesicosigmoidal fistula is presented. The patient, a 76-year-old woman, became aware of terminal micturition pain and pollakisuria in February, 1985. She was first treated under the diagnosis of cystitis to be relieved of her subjective symptoms, although there was no improvement of pyuria. She also began to feel lower abdominal pain on April 3, 1985. After various examinations including intravenous pyelography, enteroclysis and cystoscopy the diagnosis of vesicosigmoidal fistula originating from sigmoid diverticulitis was established. Careful observation at operation revealed remarkable adhesion among the sigmoid colon, bladder, uterus and left ovary. The sigmoid colon, was resected followed by end-to-end anastomosis. Because of considerably extensive inflammatory changes over the mucosal membrane of the bladder, the hole of fistula on the vesical wall was simply closed from outside of the bladder without performing partial cystectomy. Histological examination only demonstrated non-specific inflammatory changes without evidence of malignancy. She had a favorable progress postoperatively.

Authors+Show Affiliations

Sugiyama T
Department of Urology, Kinki University School of Medicine.
Kadowaki T
No affiliation info available

MeSH

AgedDiverticulitis, ColonicFemaleHumansIntestinal FistulaMethodsSigmoid DiseasesUrinary Bladder Fistula

Pub Type(s)

Case Reports
English Abstract
Journal Article
Review

Language

jpn

PubMed ID

3041780

Citation

Sugiyama, T, and T Kadowaki. "[A Case of Vesicosigmoidal Fistula]." Hinyokika Kiyo. Acta Urologica Japonica, vol. 34, no. 4, 1988, pp. 692-5.
Sugiyama T, Kadowaki T. [A case of vesicosigmoidal fistula]. Hinyokika Kiyo. 1988;34(4):692-5.
Sugiyama, T., & Kadowaki, T. (1988). [A case of vesicosigmoidal fistula]. Hinyokika Kiyo. Acta Urologica Japonica, 34(4), 692-5.
Sugiyama T, Kadowaki T. [A Case of Vesicosigmoidal Fistula]. Hinyokika Kiyo. 1988;34(4):692-5. PubMed PMID: 3041780.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [A case of vesicosigmoidal fistula]. AU - Sugiyama,T, AU - Kadowaki,T, PY - 1988/4/1/pubmed PY - 1988/4/1/medline PY - 1988/4/1/entrez SP - 692 EP - 5 JF - Hinyokika kiyo. Acta urologica Japonica JO - Hinyokika Kiyo VL - 34 IS - 4 N2 - The clinical course of a case of vesicosigmoidal fistula is presented. The patient, a 76-year-old woman, became aware of terminal micturition pain and pollakisuria in February, 1985. She was first treated under the diagnosis of cystitis to be relieved of her subjective symptoms, although there was no improvement of pyuria. She also began to feel lower abdominal pain on April 3, 1985. After various examinations including intravenous pyelography, enteroclysis and cystoscopy the diagnosis of vesicosigmoidal fistula originating from sigmoid diverticulitis was established. Careful observation at operation revealed remarkable adhesion among the sigmoid colon, bladder, uterus and left ovary. The sigmoid colon, was resected followed by end-to-end anastomosis. Because of considerably extensive inflammatory changes over the mucosal membrane of the bladder, the hole of fistula on the vesical wall was simply closed from outside of the bladder without performing partial cystectomy. Histological examination only demonstrated non-specific inflammatory changes without evidence of malignancy. She had a favorable progress postoperatively. SN - 0018-1994 UR - https://www.unboundmedicine.com/medline/citation/3041780/[A_case_of_vesicosigmoidal_fistula]_ DB - PRIME DP - Unbound Medicine ER -