膀胱回腸痩の1例

ILEOVESICAL FISTULA: A CASE REPORT

　症例は，44歳男性で右急性副睾丸炎にて大和市立病院泌尿器科に入院となつた。尿検査で糞尿を認めるため精査を施行した。DIP排尿後立位，および排尿時膀胱造影にて膀胱内造影剤の回腸への逆流が認められた。また膀胱鏡にて頂部よりガスの逆流を認めた。膀胱回腸痩の診断にて膀胱回腸部分切除を施行した。開腹時小腸は腹壁および相互に強く癒着していた。切除標本の肉眼的，組織学的検索にても原因疾患は明らかにならなかつた。

The patient was 44-year-old man, admitted to Yamato City Hospital with complaints of foecaluria, right scrotal pain and fever attack. The vesical fistula was identified by means of cystoscope and X-ray studies including DIP and voiding cystogram. These studies showed that the fistula was ileovesical. At the operation, ileum was massively adherent to bladder and abdominal wall. Then, the ileum and the bladder adjacent to fistula was resected. The possible causative disease of the ileovesical fistula was not identified by the macroscopic and microscopic examination.