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患者,男,38岁.1990年11月7日因尿痛、排尿困难,继而出现尿潴留1天入院。患者既往有尿频、尿痛、尿流中断史近1年.入院后行EUB及IVP检查:在膀胱区近后尿道口处见一结石影,约2×1.5cm大小。膀胱镜检查;于右输尿管开口上方见一0.5×0.5cm大小的憩室样暗区,内见液体状物溢出。膀胱内结石1枚。直肠指检示发现明显瘘道疤痕样组织。遂行膀胱探查井瘘道切除术。术中见膀胱右输尿管口上方有一瘘口,挤压下腹即见粪样物滥出。经瘘道内插入输尿管导管,可进入腹腔。
Patient, male, 38 years old November 7, 1990 due to dysuria, dysuria, followed by urinary retention 1 day admission. Patients with past urinary frequency, dysuria, urinary stream interruption history of nearly 1 year after admission line EUB and IVP examination: in the bladder area near the urethra seen a stone shadow, about 2 × 1.5cm size. Cystoscopy; see a 0.5 × 0.5cm size diverticulum dark area above the right ureteral opening, see the liquid-like objects overflow. Bladder stone 1. Rectal examination showed obvious fistula scar-like tissue. Bladder exploration fistula resection. Intraoperative see the right ureteral orifice of the bladder has a fistula, squeeze the lower abdomen see that excrement sample. Into the ureter via the fistula catheter can enter the abdominal cavity.