| Japanese |
|---|
| Title | 骨シンチで示唆された膀胱扁平上皮癌の膀胱回腸瘻の1例 |
|---|
| Subtitle | 症例報告 |
|---|
| Authors | 菅一能*, 大野良貴*, 米城秀*, 藤田岳史*, 中西敬*, 宇津見博基*, 山田典将**, 島袋智之*** |
|---|
| Authors(kana) | |
|---|
| Organization | *山口大学医学部放射線科, **附属病院放射線部, ***泌尿器科 |
|---|
| Journal | 核医学 |
|---|
| Volume | 29 |
|---|
| Number | 1 |
|---|
| Page | 105-110 |
|---|
| Year/Month | 1992/1 |
|---|
| Article | 報告 |
|---|
| Publisher | 日本核医学会 |
|---|
| Abstract | 「要旨」76歳, 女性の膀胱扁平上皮癌の症例で, 放射線治療中に行われた骨シンチで結腸への集積を認め, 膀胱消化管瘻が疑われた. その後, 膀胱造影などの精査により膀胱回腸瘻の存在が確認された. 自覚症状は下痢傾向のみで瘻に特異的なものはなかった. 放射線治療により急速に著明な腫瘍の縮小を認め手術施行され, 腫瘍の回腸への浸潤を認めた. 「I. はじめに」99mTcリン酸化合物による骨シンチにおける骨外集積のうち, 消化管への集積は稀である. 今回, 放射線治療中, 骨転移巣検索のための骨シンチで結腸に集積を認め, 精査の結果, 膀胱回腸瘻が証明された膀胱扁平上皮癌の1例を経験したので文献的考察を加え報告する. 「II. 症例呈示」症例:K. N. , 76歳, 女性 主訴:下腹部痛, 排尿時痛, 頻尿 既往歴:28歳時, 子宮筋腫で手術. その後手術創部瘢痕ヘルニア, 腸閉塞で2度の手術歴がある. |
|---|
| Practice | 臨床医学：一般 |
|---|
| Keywords | Vesicoenteric fistula, Bone scintigraphy, 99mTc-HMDP, Bladder cancer. |
|---|
| English |
|---|
| Title | A Case of Squamous Cell Carcinoma of Urinary Bladder with an Ileo-Vesical Fistula Detected on Bone Scintigraphy |
|---|
| Subtitle | Case Reports |
|---|
| Authors | Kazuyoshi SUGA*, Yoshitaka OHONO*, Shigeru YONESHIRO*, Takeshi FUJITA*, Takashi NAKANISHI*, Hiromoto UTSUMI**, Norimasa YAMADA**, Tomoyuki SHIMABUKURO*** |
|---|
| Authors(kana) | |
|---|
| Organization | *Department of Radiology, Yamaguchi University School of Medicine, **Department of Radiology, Yamaguchi University Hospital, ***Department of Urology, Yamaguchi University School of Medicine |
|---|
| Journal | The Japanese Journal of nuclear medicine |
|---|
| Volume | 29 |
|---|
| Number | 1 |
|---|
| Page | 105-110 |
|---|
| Year/Month | 1992/1 |
|---|
| Article | Report |
|---|
| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
|---|
| Abstract | [Summary]A case of squamous cell carcinoma of the urinary bladder with concomitant radionuclide uptake in the colon observed on bone scintigram in a 76-year-old female is presented. This finding reflected retrograde flow from the bladder to the intestine and suggested the presence of vesicoenteric fistula. The patient's pelvis had been irradiated with 23.4Gy before the bone scintigram, she had been complaing only of diarrhea and not of any characteristic symptoms of vesicoenteric fistula, such as pneumaturia and fecaluria. Further examination including cysternography revealed a fistulous communication between the bladder and the ileum. The size of the tumor decreased markedly after radiation, tumor invasion to the ileum and the fistulous communication were verified at surgery. |
|---|
| Practice | Clinical medicine |
|---|
| Keywords | Vesicoenteric fistula, Bone scintigraphy, 99mTc-HMDP, Bladder cancer. |
|---|