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Suspicious of Spontaneous Rupture of an Indiana Pouch:A Case Report Sadamu Tsukamoto 1 , Satoru Ishikawa 1 , Atsushi Yamauchi 1 , Yoshio Iwahori 2 , Masahiko Suzuki 3 Keyword: 禁制型尿路変向術 , 尿路破裂 pp.683-685
Published Date 1998/8/20
DOI https://doi.org/10.11477/mf.1413902397
  • Abstract
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We report a rare case of spontaneous rupture of an Indiana pouch 4 year after radical cystectomy. The patient, 59-year-old male suddenly developed signs of peritonitis and CT scan showed free fluid in the lower peritoneal cavity. Leakage of contrast medium from the reservoir on DIP was suspected but it revealed to be false positive compared with two weeks later pouchography. Catheterization of the reservoir rapidly relieved the symptoms. In this case, chronic overdistention of the reservoir seemed to be the main cause of the rupture.


Copyright © 1998, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1332 印刷版ISSN 0385-2393 医学書院

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