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输卵管输尿管瘘——结直肠癌腹腔镜手术后罕见的并发症：病例报告及文献综述

Salpingo-ureteric fistula-A rare complication following laparoscopic surgery for colorectal cancer: A case report and literature review.

作者信息

Nkwam N, During V, Chen T

机构信息

Department of Urology, Lincoln County Hospital, United Lincolnshire Hospitals NHS Trust, Greetwell Road, Lincolnshire LN2 5QY, United Kingdom.

Department of Urology, Worcestershire Royal Hospital, Worcestershire Acute Hospitals NHS Trust, Charles Hastings Way, Worcestershire WR5 1DD, United Kingdom.

出版信息

Int J Surg Case Rep. 2014;5(4):200-2. doi: 10.1016/j.ijscr.2014.01.021. Epub 2014 Feb 7.

DOI:10.1016/j.ijscr.2014.01.021
PMID:24636981
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3980517/
Abstract

INTRODUCTION

We report the management and outcome of the case of a 57-year old woman with adenocarcinoma of the rectum. Following neo-adjuvant chemo-radiotherapy and laparoscopic-assisted anterior resection of her tumour she developed a right salpingo-ureteric fistula.

PRESENTATION OF CASE

Three weeks following laparoscopic anterior resection of the tumour she presented with urinary frequency and incontinence. A ureteric stent was inserted and left in-situ for five months but the fistula did not heal. The patient underwent exploration and open repair of the salpingo-ureteric fistula which resolved her symptoms.

DISCUSSION

There have not been many reported cases in the literature of salpingo-ureteric fistulae but after initial trial of management with ureteric stents all eventually required open exploration and repair.

CONCLUSION

we advocate open repair of salpingo-ureteric fistulae as the definitive management following intra-operative injury.

摘要

引言

我们报告了一例57岁直肠腺癌女性患者的治疗情况及结果。在接受新辅助放化疗及腹腔镜辅助下肿瘤前切除术之后，她出现了右侧输卵管 - 输尿管瘘。

病例介绍

在腹腔镜下肿瘤前切除术后三周，她出现尿频和尿失禁症状。插入了输尿管支架并留置五个月，但瘘口未愈合。患者接受了输卵管 - 输尿管瘘探查及开放修复手术，症状得以缓解。

讨论

文献中报道的输卵管 - 输尿管瘘病例不多，但在最初尝试使用输尿管支架治疗后，所有病例最终都需要进行开放探查和修复。

结论

我们主张对于术中损伤导致的输卵管 - 输尿管瘘，开放修复是确定性的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f6f/3980517/227d6e0cb052/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f6f/3980517/a9de5067bd48/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f6f/3980517/61b7ba13c043/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f6f/3980517/a22483264517/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f6f/3980517/227d6e0cb052/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f6f/3980517/a9de5067bd48/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f6f/3980517/61b7ba13c043/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f6f/3980517/a22483264517/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f6f/3980517/227d6e0cb052/gr4.jpg

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本文引用的文献

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Ureteric injury: a challenging condition to diagnose and manage.输尿管损伤：一种具有挑战性的疾病，其诊断和处理均颇具难度。
Nat Rev Urol. 2013 Feb;10(2):108-15. doi: 10.1038/nrurol.2012.254. Epub 2013 Jan 15.
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Uretero-fallopian fistula after gynecological surgery for endometriosis: a case report.子宫内膜异位症妇科手术后发生输尿管-输卵管瘘：一例报告
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Pneumonephrosis due to a fallopian tube/ureteric fistula.由输卵管/输尿管瘘引起的气性肾盂积脓。
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