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残留终末肠段与消化道形成瘘管：一种迄今为止尚未报道的肛门直肠畸形手术并发症。

Residual terminal bowel fistulating into the alimentary tract: a hitherto unreported complication of surgery for anorectal malformation.

作者信息

Sen Sudipta, Arunachalam Pavai, Sam Cenita J, Bal Harshjeet Singh

机构信息

Department of Paediatric Surgery, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India.

Department of Paediatric Surgery, Christian Medical College, Vellore, Tamil Nadu, India.

出版信息

BMJ Case Rep. 2017 Jan 23;2017:bcr2016218986. doi: 10.1136/bcr-2016-218986.

DOI:10.1136/bcr-2016-218986
PMID:28115405
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5278338/
Abstract

The residual terminal bowel after pull-through surgery for anorectal malformation has been reported to cause urinary complications. We report two boys where residual bowel has fistulated postoperatively into the alimentary tract causing metabolic and septic complication in one and a large pelvic mass with urinary and rectal obstruction in the other.

摘要

据报道，肛门直肠畸形拖出术后残留的终末肠段可导致泌尿系统并发症。我们报告了两名男孩，其中一名男孩术后残留肠段形成瘘管并与消化道相通，导致代谢和感染性并发症；另一名男孩则出现巨大盆腔肿块，伴有泌尿系统和直肠梗阻。

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本文引用的文献

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Management of anorectal malformation without ligation of fistula: an approach preventing posterior urethral diverticula.肛门直肠畸形的非瘘管结扎管理：一种预防后尿道憩室的方法。
J Pediatr Urol. 2014 Dec;10(6):1149-52. doi: 10.1016/j.jpurol.2014.04.016. Epub 2014 Jun 5.
2
Urinary retention in an infant caused by a posterior urethral diverticulum lithiasis following surgery for anorectal malformation.肛门直肠畸形手术后因后尿道憩室结石症导致的婴儿尿潴留。
Urolithiasis. 2014 Apr;42(2):183-5. doi: 10.1007/s00240-014-0642-7. Epub 2014 Feb 4.
3
Acquired posterior urethral diverticulum following surgery for anorectal malformations.获得性后尿道憩室，继发于肛门直肠畸形手术之后。
J Pediatr Surg. 2011 Jun;46(6):1231-5. doi: 10.1016/j.jpedsurg.2011.03.061.
4
Posterior urethral diverticulum after laparoscopic-assisted repair of high-type anorectal malformation in a male patient: surgical treatment and prevention.男性患者腹腔镜辅助修复高位型肛门直肠畸形术后的后尿道憩室：手术治疗与预防
Pediatr Surg Int. 2005 Jan;21(1):58-60. doi: 10.1007/s00383-004-1265-9.