Lowe Gregory, Mandalapu Subbarao, Gilleran Jason
Department of Urology, The Ohio State University Medical Center, 3620 Cramblett Hall, 456 West 10th Avenue, Columbus, OH 43210, USA.
Int Urogynecol J. 2010 Feb;21(2):255-7. doi: 10.1007/s00192-009-0950-6. Epub 2009 Jul 24.
A 46-year-old white female underwent a left hemipelvectomy for chondrosarcoma. She presented with total incontinence and a bulging vaginal mass. Exam confirmed complete transurethral bladder eversion that was addressed with transvaginal multilayer bladder neck closure and suprapubic tube placement. Eventually she underwent abdominal hysterectomy, mesh sacral colpopexy, and catheterizable stoma creation. Patient is continent of urine 3 months postoperatively. We present the first reported case of bladder eversion after hemipelvectomy and propose possible pathophysiologic mechanisms.
一名46岁的白人女性因软骨肉瘤接受了左半骨盆切除术。她出现了完全性尿失禁和阴道肿物突出。检查证实为经尿道膀胱完全外翻，通过经阴道多层膀胱颈闭合术和耻骨上造瘘管置入术进行了处理。最终，她接受了腹式子宫切除术、网状骶骨阴道固定术和可导尿造口术。患者术后3个月实现了尿液自控。我们报告了首例半骨盆切除术后膀胱外翻的病例，并提出了可能的病理生理机制。
