根治性膀胱切除术后髂外动脉与回肠导管之间的瘘：一种危及生命的并发症。
Fistula between external iliac artery and ileal conduit after radical cystectomy: a life-threatening complication.
作者信息
Castillo Octavio A, Campos Juanatey Felix, Vives Rivera Franklin, López-Vallejo Jorge
机构信息
Urology Department. Clinica Indisa. Chile. Facultad de Medicina. Universidad Andres Bello. Santiago. Chile.
出版信息
Arch Esp Urol. 2013 Dec;66(10):967-9.
OBJECTIVE
To present a rare complication of an iliac artery to ileal conduit fistula after radical cystectomy.
METHODS
A 74 year-old man with muscle invasive bladder cancer was submitted for robotic radical cystectomy with intracorporeal ileal conduit. Twenty-four days after surgery he was readmitted due to an active bleeding from the ileal conduit.
RESULTS
CT-Scan showed an arterial fistula between the external iliac artery and the ileal conduit. The emergency procedure done was an artery ligation, bilateral cutaneous ureterostomy and extra-anatomic femoro-femoral bypass.
CONCLUSIONS
A fistula from the external iliac artery to the ileal conduit is a rare and serious complication in the Bricker type urinary diversion, with only 7 cases reported in the international literature.
目的
介绍根治性膀胱切除术后髂动脉至回肠代膀胱瘘这一罕见并发症。
方法
一名74岁的肌肉浸润性膀胱癌男性患者接受了机器人辅助根治性膀胱切除术及体内回肠代膀胱术。术后24天，他因回肠代膀胱活动性出血再次入院。
结果
CT扫描显示髂外动脉与回肠代膀胱之间存在动脉瘘。所采取的紧急手术为动脉结扎、双侧皮肤输尿管造口术及解剖外股-股旁路移植术。
结论
髂外动脉至回肠代膀胱的瘘是Bricker式尿流改道中一种罕见且严重的并发症，国际文献中仅报道了7例。
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