Two cases of fistula due to sigmoidal diverticulum (Sigmoidvesical and sigmoidsalpingeal fistulae).

概要

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Fistula is a complication of the colonic diverticulum. We experienced 2 cases of fistula due to sigmoidal diverticulum, and the pertinent litarature was review.<BR>Case 1 was a 41-year-old male with sigmoidvesical fistula. His chief complaints were pueumaturia and fecaluria. The fistula was confirmed by barium enema, cystoscopy and abdominal CT scan. A two-staged procedure was done because of strong inflammatory changes in the pelvis. His post-operative courses were uneventful.<BR>Case 2 was a 70-year-old female with sigmoidsalpingeal fistula. Her chief complaints were lower abdominal pain and fluor. The fistula was confirmed by barium enema, hysterosalpingography, and abdominal CT scan.<BR>Primary resection of the sigmoid colon and salpingohysterectomy were peformed. Her postoperative course was uneventuful. This seems to be the first case of sigmoid-salpingeal fistula reported in Japan.
日本大腸肛門病学会の論文