S状結腸癌による膀胱腸瘻から尿道瘻孔を形成し陰嚢内膿瘍を認めた1例

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  • 中澤, 成晃
    大阪大学大学院医学系研究科器官制御外科学（泌尿器科)
  • 植村, 元秀
    大阪大学大学院医学系研究科器官制御外科学（泌尿器科)
  • 宮川, 康
    大阪大学大学院医学系研究科器官制御外科学（泌尿器科)
  • 辻村, 晃
    大阪大学大学院医学系研究科器官制御外科学（泌尿器科)
  • 野々村, 祝夫
    大阪大学大学院医学系研究科器官制御外科学（泌尿器科)

書誌事項

タイトル別名
  • Urethral Fistula and Scrotal Abscess Associated with Colovesical Fistula Due to the Sigmoid Colon Cancer
  • Sジョウ ケッチョウ ガン ニ ヨル ボウコウ チョウロウ カラ ニョウドウロウコウ オ ケイセイ シ インノウ ナイ ノウヨウ オ ミトメタ 1レイ

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抄録

We report here a rare case of urethral fistula and scrotal abscess associated with colovesical fistula due to sigmoid colon cancer. An 84-year-old male was referred to our hospital complaining of macrohematuria, fecaluria, pneumaturia and micturitional pain. Computed tomography (CT) showed colovesical fistula. Other examinations, including colonoscopy and cystoscopy, did not reveal a clear cause for the colovesical fistula. Only an elevated serum level of the tumor marker CA19-9 suggested the possibility of sigmoid colon cancer. Eleven days after hospitalization, bilateral scrotal contents had swollen rapidly to the size of a goose egg. CT suggested urethral fistula with scrotal abscess formation. Drainage of scrotal abscess and colostomy were performed. Intraoperatively, the fistula of the bulbar urethra was revealed. Because increased serum CA19-9 suggested a diagnosis of sigmoid colon cancer, cystectomy and sigmoid colectomy with right nephrectomy were performed. Pathological examination revealed adenocarcinoma of sigmoid colon with bladder invasion. His condition was improved with rehabilitation 6 months after operation.

収録刊行物

  • 泌尿器科紀要

    泌尿器科紀要 61 (9), 375-378, 2015-09-30

    泌尿器科紀要刊行会

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