Urinoma を合併したクローン病の1例 Crohn's Disease Associated with Urinoma : Report of a Case






Urinoma is defined as an encapsulated collection of chronically extravasated urine, usually located in the perirenal space. Crohn's disease (CD) complicating urinomas is very rarely reported, and we encountered a case of urinoma with CD which was located in the retroperitoneal space.<br> Case presentation<br> A 44-year-old female complained of abdominal distention as well as frequent urination. Contrast-enhanced CT scan showed a giant cystic mass, barium enema indicated entero-rectal fistula, and DIP revealed rectovesical fistula. By conservative therapy, inflammatory findings were improved. However, an abdominal tumor was still observed. Therefore, we performed an operation including ileocecal resection, resection of the fistulas, and repair of the urinary bladder and the rectum. The postoperative course was uneventful and 37 months later after the operation, the patient has no complaints.<br> Conclusion<br> Our case is the first report of Crohn's disease associated with urinoma. We believe that surgical therapy may be effective for patients who have urinoma with Crohn's disease.<br>


  • 日本大腸肛門病学会雑誌

    日本大腸肛門病学会雑誌 61(7), 426-430, 2008-07-01

    The Japan Society of Coloproctology

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