J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 1943KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 91(5): 645-648, 1990

Case report

A SUCCESSFULLY TREATED CASE OF AORTOURETRIC FISTULA ASSOCIATED WITH PELVIC EXENTERATION

The Second Department of Surgery, Faculty of Medicine, University of Tokyo
*) Department of Urology, Funabashi Medical Center, Funabashi, Japan

Yutaka Takayama, Yusuke Tada, Atsuhiko Takagi, Osamu Sato, Motoaki Shirakawa, Yasuo Idezuki, Michio Fujita*)

A 64-year-old man was hospitalized for massive bleeding from the cutaneous ureterostomy. He had undergone pelvic exenteration with the ureterostomy for rectal cancer invading the bladder five months previously and retrograde ureteric catheters were inserted bilaterally into the ureters. An aortography revealed a pseudoaneurysm of the abdominal aorta in the region transversed by the left ureter. He was successfully treated by en bloc resection of the aortoureteric fistula and the left ureter and repair of the aorta by Dacron patchplasty. Left nephrectomy was also performed because of pyelonephritis. He has had no signs of cancer recurrence or graft infection five years after this operation.

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