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腹主动脉瘤修复术后三年出现的大型轻度症状性医源性尿瘤。

Large minimally symptomatic iatrogenic urinoma presenting three years after abdominal aortic aneurysm repair.

作者信息

Spurrell Mark, Pike John, Duffy Gavin

机构信息

Memorial University of Newfoundland, St. John's, NL.

出版信息

Can Urol Assoc J. 2012 Apr;6(2):E50-3. doi: 10.5489/cuaj.10154.

Abstract

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.

摘要

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。

相似文献

2
Ureteral leak after an abdominal aortic aneurysm repair: case report.腹主动脉瘤修复术后输尿管漏:病例报告
Emerg Radiol. 2002 Jul;9(2):103-5. doi: 10.1007/s10140-002-0195-x. Epub 2002 May 9.

本文引用的文献

1
Ureteral injuries: external and iatrogenic.输尿管损伤:外部性和医源性损伤。
Urol Clin North Am. 2006 Feb;33(1):55-66, vi. doi: 10.1016/j.ucl.2005.11.005.
3
Ureteral leak after an abdominal aortic aneurysm repair: case report.腹主动脉瘤修复术后输尿管漏:病例报告
Emerg Radiol. 2002 Jul;9(2):103-5. doi: 10.1007/s10140-002-0195-x. Epub 2002 May 9.
4
Prevention and management of ureteral injuries during aortic surgery.
Semin Vasc Surg. 2001 Dec;14(4):266-74. doi: 10.1053/svas.2001.27887.
6
Current methods of diagnosis and management of ureteral injuries.
World J Urol. 1999 Apr;17(2):78-83. doi: 10.1007/s003450050110.
7
Vascular surgery-associated ureteral injury: zebras do exist.
Ann Vasc Surg. 1993 Mar;7(2):180-6. doi: 10.1007/BF02001013.

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