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Vesicoenteric Fistula due to Bladder Squamous Cell Carcinoma

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°­À¯Áø, ¹Úµ¿Áø, ÀÌ°æ¼·, ÃÖ³«±Ô, ±è±âÈ£, Kim Soon, ±è¼º¿ì,
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°­À¯Áø ( Kang Yu-Jin ) 
Dongguk University College of Medicine Department of Urology

¹Úµ¿Áø ( Park Dong-Jin ) 
Dongguk University College of Medicine Department of Urology
ÀÌ°æ¼· ( Lee Kyung-Seop ) 
Dongguk University College of Medicine Department of Urology
ÃÖ³«±Ô ( Choi Nak-Gyeu ) 
Dongguk University College of Medicine Department of Urology
±è±âÈ£ ( Kim Ki-Ho ) 
Dongguk University College of Medicine Department of Urology
 ( Kim Soon ) 
Dongguk University College of Medicine Department of Radiology
±è¼º¿ì ( Kim Sung-Woo ) 
Dongguk University College of Medicine Department of Radiology

Abstract


Vesicoenteric fistula is a rare complication of bladder squamous cell carcinoma. We report the case of a 70-year-old male who complained of painless, total gross hematuria. Abdominopelvic computed tomography (CT) revealed an approximately 2.7-cm lobulated and contoured enhancing mass in the bladder dome. We performed partial cystectomy of the bladder dome after transurethral resection of the bladder. The biopsy result was bladder squamous cell carcinoma, with infiltrating serosa histopathologically, but the resection margin was free. Postoperatively, follow-up CT was done after 3 months. Follow-up CT revealed an approximately 4.7-cm¡¿4.0-cm lobulated, contoured, and heterogeneous mass in the bladder dome. A vesicoenteric fistula was visible by cystography. Here we report this case of a vesicoenteric fistula due to bladder squamous cell carcinoma.

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Squamous cell carcinoma;Urinary bladder;Urinary bladder fistula

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