Naranji Ishvar, Bolgeri Marco
Department of Urology, Kent and Canterbury Hospital, Ethelbert Road, Canterbury, Kent, CT1 3NG, UK.
J Med Case Rep. 2012 Aug 22;6:254. doi: 10.1186/1752-1947-6-254.
Hematuria has been described following bladder drainage in 2% to 16% of high-pressure chronic urinary retention treatments by decompression and is generally self-limiting. We describe a case of significant bilateral upper urinary tract hematuria following drainage of high-pressure chronic retention. To the best of our knowledge, the only similar case reported in the literature was in 1944.
An 82-year-old Caucasian man was referred to our department with nocturnal enuresis and a palpable bladder. He was catheterized, produced a residual volume of 2900mL, and ended up becoming oliguric. Following investigations, he had bilateral nephrostomies. He was discharged 18 days after presentation.
Clinicians should keep in mind the presentation discussed in this case report to be able to swiftly manage this extremely rare complication of decompression in patients with high-pressure chronic retention.
在2%至16%的通过减压治疗高压性慢性尿潴留的病例中，膀胱引流后出现血尿，且通常为自限性。我们描述了一例高压性慢性尿潴留引流后出现严重双侧上尿路血尿的病例。据我们所知，文献中报道的唯一类似病例发生在1944年。
一名82岁的白人男性因夜间遗尿和可触及膀胱被转诊至我科。对其进行导尿，残余尿量为2900mL，最终出现少尿。经过检查，他接受了双侧肾造瘘术。就诊18天后出院。
临床医生应牢记本病例报告中讨论的表现，以便能够迅速处理高压性慢性尿潴留患者这种极其罕见的减压并发症。
