Spurrell Mark, Pike John, Duffy Gavin
Memorial University of Newfoundland, St. John's, NL.
Can Urol Assoc J. 2012 Apr;6(2):E50-3. doi: 10.5489/cuaj.10154.
We describe a case of a large, minimally symptomatic, urinoma presenting 3 years after emergent repair of a ruptured abdominal aortic aneurysm. We discuss the symptoms and signs, as well as the imaging, treatment and prevention options, for this rare complication. Because of the high mortality associated with delayed diagnosis of ureteral injury, a high index of suspicion should be maintained in patients who had surgery adjacent to the ureters.
我们描述了一例在腹主动脉瘤破裂急诊修复术后3年出现的巨大、症状轻微的尿瘤病例。我们讨论了这种罕见并发症的症状和体征,以及影像学、治疗和预防方案。由于输尿管损伤延迟诊断相关的高死亡率,对于接受输尿管附近手术的患者应保持高度怀疑。