A Case of Vesicorectal Fistula due to Progressive RectalCarcinoma Successfully Treated by Total Pelvic Exenteration

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  • 骨盤内臓全摘除術により寛解を得た進行直腸癌による膀胱直腸瘻の１例
  • 症例報告 骨盤内臓全摘除術により寛解を得た進行直腸癌による膀胱直腸瘻の1例
  • ショウレイ ホウコク コツバン ナイゾウ ゼンテキジョジュツ ニ ヨリ カンカイ オ エタ シンコウ チョクチョウガン ニ ヨル ボウコウ チョクチョウロウ ノ 1レイ

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  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.

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