腸間膜嚢腫膀胱瘻の1例
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概要
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A 56-year-old man had resection of mesenteric cyst 20 years prior to admission of this time. The resection of the cyst was said to be incomplete due to marked adhesion with the sigmoid colon. He visited us with profuse mucus discharge in urine. Cystoscopy disclosed a fistulous opening on the dome where mucus mass came from. A ureteral catheter was inserted through this hole and mesenteric cystography could be obtained. He also noted a suprapubic soft mass where mucus discharge was occasionally seen. Because radical surgery was thought to be extremely difficult, he was put on the periodic follow-up under lysozyme therapy which has been effective. This kind of bladder fistula is exteremely rare and could not be found in the literature.
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