Departmental Bulletin Paper 潰瘍性大腸炎の長期治療中にS状結腸膀胱瘻を契機に発見されたS状結腸原発悪性リンパ腫の1例
A Case of Primary Sigmoid Colon Lymphoma Presenting with Sigmoidovesical Fistula in a Patient with a Long History of Ulcerative Colitis

小河, 孝輔  ,  清水, 洋祐  ,  土橋, 一成  ,  木田, 和貴  ,  金丸, 聰淳  ,  田中, 康博  ,  石原, 美佐  ,  橋本, 公夫  ,  伊藤, 哲之

63 ( 8 )  , pp.319 - 322 , 2017-08-31 , 泌尿器科紀要刊行会
Erratum (Author's Name Correction): Kazunari Kida → Kazutaka Kida
A 73-year-old male patient with a 16-year history of ulcerative colitis presented to our hospital with a history of pneumaturia and fever. Cystoscopy and a computed tomography scan showed sigmoidovesical fistula. Colonoscopy showed a necrotic tumor along with sigmoidovesical fistula. A biopsy was not sufficient to make a definitive diagnosis of the tumor. Total colectomy with ileostomy and partial cystectomy were performed. A pathological examination showed diffuse large B-cell lymphoma of the sigmoid colon. On postoperative day 35, delayed dehiscence of the bladder wall was detected and a biopsy of the bladder wall showed lymphoma. Standard systemic chemotherapy (R-THP-COP) was administered and the defect of the bladder was closed. Three years and 2 months postoperatively, the patient has no local recurrence or distant metastasis.

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