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髋臼骨折后持续性膀胱嵌顿导致髋关节腔内膀胱髋臼瘘和尿路结石

Vesico-Acetabular Fistula and Urolithiasis in the Hip Joint Cavity due to Persistent Bladder Entrapment after Acetabular Fracture.

作者信息

Tolkach Yuri, Gadjiev Nariman, Korol Valeriy, Gonchar Ivan

机构信息

Urology Clinic, Military Medical Academy, Saint-Petersburg, Russia.

出版信息

Korean J Urol. 2011 Mar;52(3):221-4. doi: 10.4111/kju.2011.52.3.221. Epub 2011 Mar 18.

DOI:10.4111/kju.2011.52.3.221
PMID:21461289
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3065137/
Abstract

We report a rare case of vesico-acetabular fistula due to an improperly treated pelvic fracture with urinary stone formation in the joint cavity. This complication was related to an unrecognized mechanism of bladder wall entrapment in the acetabular floor defect during weight bearing. This situation led to several mistreatment decisions in our case and should be always considered by urologists dealing with patients after major pelvic trauma. In this case report, we analyze the publications related to this problem, discuss the main mechanisms of bladder wall damage after acetabular fracture, and propose tips for diagnosis and treatment.

摘要

我们报告了一例罕见的膀胱-髋臼瘘病例，该病例是由于骨盆骨折治疗不当导致关节腔内形成尿路结石。这种并发症与负重过程中髋臼底缺损处膀胱壁未被识别的卡压机制有关。在我们的病例中，这种情况导致了一些错误的治疗决策，处理重大骨盆创伤后患者的泌尿外科医生应始终考虑到这一点。在本病例报告中，我们分析了与该问题相关的文献，讨论了髋臼骨折后膀胱壁损伤的主要机制，并提出了诊断和治疗建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29cc/3065137/06c9344f9aa4/kju-52-221-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29cc/3065137/e0010f13af40/kju-52-221-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29cc/3065137/3f7889748d08/kju-52-221-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29cc/3065137/ebc0cdd970c0/kju-52-221-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29cc/3065137/87135bfe1487/kju-52-221-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29cc/3065137/06c9344f9aa4/kju-52-221-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29cc/3065137/e0010f13af40/kju-52-221-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29cc/3065137/3f7889748d08/kju-52-221-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29cc/3065137/ebc0cdd970c0/kju-52-221-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29cc/3065137/87135bfe1487/kju-52-221-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29cc/3065137/06c9344f9aa4/kju-52-221-g005.jpg

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Secondary bladder stone caused by delayed penetration of the bladder by a pubic fracture: A case report and literature review.耻骨骨折致膀胱延迟穿透引起的继发性膀胱结石：一例报告及文献复习
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Recurrent vesico-acetabulo-cutaneous fistula: lessons to be learnt.

本文引用的文献

1
Changes in the treatment of acetabular fractures over 15 years: Analysis of 1266 cases treated by the German Pelvic Multicentre Study Group (DAO/DGU).15年来髋臼骨折治疗的变化：德国骨盆多中心研究组（DAO/DGU）对1266例病例的分析
Injury. 2010 Aug;41(8):839-51. doi: 10.1016/j.injury.2010.04.010. Epub 2010 May 6.
2
Delayed presentation of bladder entrapment secondary to nonoperative treatment of a lateral compression pelvic fracture.继发于骨盆外侧挤压骨折非手术治疗的膀胱嵌顿的迟发表现。
J Orthop Trauma. 2010 May;24(5):e44-8. doi: 10.1097/BOT.0b013e3181a9ee1d.
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Total hip arthroplasty after hip joint ankylosis.
复发性膀胱-髋臼-皮肤瘘：应吸取的教训。
BMJ Case Rep. 2022 Aug 19;15(8):e250618. doi: 10.1136/bcr-2022-250618.
J Orthop Sci. 2009 Nov;14(6):727-31. doi: 10.1007/s00776-009-1390-3. Epub 2009 Dec 8.
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Vesicocutaneous fistula presenting as a thigh abscess.表现为大腿脓肿的膀胱皮肤瘘
Singapore Med J. 2009 Sep;50(9):e336-7.
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Complications of acetabular fracture surgery in morbidly obese patients.病态肥胖患者髋臼骨折手术的并发症
J Orthop Trauma. 2008 Oct;22(9):589-94. doi: 10.1097/BOT.0b013e318188d6c3.
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Persistent bladder entrapment following acetabular fracture with subsequent vesical injury during total hip arthroplasty. A case report.髋臼骨折后持续膀胱嵌顿，全髋关节置换术中继发膀胱损伤。一例病例报告。
J Bone Joint Surg Am. 2005 Apr;87(4):870-3. doi: 10.2106/JBJS.D.02029.
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Entrapment of the bladder in an acetabular fracture. A case report.髋臼骨折致膀胱嵌顿。1例病例报告。
J Bone Joint Surg Am. 1997 Jan;79(1):113-7. doi: 10.2106/00004623-199701000-00012.
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Results of 75 consecutive patients with an acetabular fracture.75例髋臼骨折连续患者的结果。
Clin Orthop Relat Res. 1994 Aug(305):53-7.
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Open reduction and internal fixation of fractures of the acetabulum. Results in 163 fractures.髋臼骨折的切开复位内固定术。163例骨折的治疗结果。
Clin Orthop Relat Res. 1994 Aug(305):31-7.