Authors: Joaquin S Aldrete William H ReMine
Publish Date: 1967/05/01
Volume: 94, Issue: 5, Pages: 627-637
Abstract
CARCINOMAS of the colon may invade the urinary bladder the neoplastic invasion and the added inflammatory reaction can produce ulceration and necrosis of the colonic and vesical walls resulting in a vesicocolic fistula of malignant origin The surgical treatment of the patients presents a supplementary challenge since excision of a fullthickness portion of the involved segment of the bladder will be necessary in addition to resection of the colonic cancerCancers of the colon occasionally are adherent to the urinary bladder LockhartMummery1 reported this finding in 157 4 of 3780 patients who had cancer of the left portion of the colon excluding the rectum and were seen over 25 years 1928 through 1952 at St Marks Hospital of London In 23 of these patients fistulas had developed into the lumen of the bladder which gives an incidence of vesicocolic fistula of 06 in all cases of cancer of the
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