A Case of Vesicorectal Fistula due to Progressive RectalCarcinoma Successfully Treated by Total Pelvic Exenteration
- Author:
Yoshiko TOKUYAMA
;
Tetsuo FUJITA
;
Takahiro HIRAYAMA
;
Tsunehisa MATSUSHITA
;
Akio KAZAMA
;
Seigo TAKANO
- Publication Type:Journal Article
- From:Journal of the Japanese Association of Rural Medicine
2010;58(6):694-698
- CountryJapan
- Language:Japanese
-
Abstract:
A 55-year-old male complained about urinary frequency, micturition pain, and right abdominal pain. Ultrasonography, computed tomography, and magnetic resonance imaging revealed severe vesicorectal fistula which was induced by either bladder carcinoma or rectal carcinoma. Total pelvic exenteration was performed. Histopathological examination revealed rectal adenocarcinoma with invasion of the urinary bladder. Twelve months after the surgery, the patient exhibited no sign nor symptom of local recurrence or metastatic disease.
