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胰腺移植后转为肠内引流后发生膀胱破裂。

Bladder Rupture following Conversion to Enteric Drainage after Pancreatic Transplantation.

作者信息

Srivastava Vikas, Passaris George, Juneja Rajiv, Siddins Mark, Barbara Jeffrey A J

机构信息

Renal Unit, Flinders Medical Centre and Flinders University, Adelaide, S.A., Australia.

出版信息

Case Rep Nephrol Urol. 2012 Jan;2(1):1-5. doi: 10.1159/000336626. Epub 2012 Feb 8.

DOI:10.1159/000336626
PMID:23197947
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3482074/
Abstract

Complications associated with bladder-drained pancreatic transplant are not uncommon and include urinary tract infections and reflux pancreatitis. Bladder rupture with peritoneal leak is a rare complication after pancreatic transplantation and can present as an acute abdomen with rapidly deteriorating renal function. We describe the first case of a urine leak into the peritoneal cavity occurring after conversion from bladder to enteric drainage. A high index of suspicion is required to diagnose such a complication.

摘要

与膀胱引流式胰腺移植相关的并发症并不罕见，包括尿路感染和反流性胰腺炎。膀胱破裂伴腹膜渗漏是胰腺移植后一种罕见的并发症，可表现为急腹症并伴有肾功能迅速恶化。我们描述了首例在从膀胱引流转换为肠道引流后发生尿液漏入腹腔的病例。诊断此类并发症需要高度的怀疑指数。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b977/3482074/23071be62832/cru-0002-0001-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b977/3482074/2dfeba2a9651/cru-0002-0001-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b977/3482074/23071be62832/cru-0002-0001-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b977/3482074/2dfeba2a9651/cru-0002-0001-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b977/3482074/23071be62832/cru-0002-0001-g02.jpg

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