原发性剖宫产术后出现尿失禁的膀胱子宫瘘：一例报告
Vesicouterine fistula presenting with urinary incontinence after primary cesarean section: a case report.
作者信息
Mokrzycki Mark L, Hampton Brittany Star
机构信息
Department of Obstetrics and Gynecology, Saint Peter's University Hospital, New Brunswick, New Jersey 08901, USA.
出版信息
J Reprod Med. 2007 Dec;52(12):1107-8.
BACKGROUND
Vesicouterine fistula is a rare complication most commonly associated with cesarean section. Though conservative management has been reported, surgical intervention is usually required to treat the condition.
CASE
A 32-year-old woman presented with urinary incontinence following a primary cesarean section; it was initially thought to be a vesicovaginal fistula. Careful evaluation and a high index of suspicion resulted in the correct diagnosis of a vesicouterine fistula. The patient was successfully treated with uterus-sparing surgery.
CONCLUSION
This case illustrates the importance of a comprehensive evaluation of all patients suspected of having a urogenital fistula. A thorough workup led to the correct diagnosis of vesicouterine fistula and allowed the surgeons to plan the appropriate operative strategy in managing the patient.
背景
膀胱子宫瘘是一种罕见的并发症，最常与剖宫产相关。尽管有保守治疗的报道，但通常需要手术干预来治疗该疾病。
病例
一名32岁女性在初次剖宫产后出现尿失禁；最初被认为是膀胱阴道瘘。经过仔细评估和高度怀疑，最终正确诊断为膀胱子宫瘘。该患者通过保留子宫的手术成功治愈。
结论
本病例说明了对所有疑似泌尿生殖瘘患者进行全面评估的重要性。全面的检查导致了膀胱子宫瘘的正确诊断，并使外科医生能够制定合适的手术策略来治疗该患者。
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