Rooney H, Mokool L, Ramsay A, Nalagatla S
1 Core Surgical Trainee, Monklands General Hospital, UK.
2 Urology Registrar, Monklands General Hospital, UK.
Scott Med J. 2018 Aug;63(3):99-101. doi: 10.1177/0036933017743128. Epub 2018 Jan 25.
Purple urine bag syndrome is an uncommon condition that describes the purple discolouration of a catheter bag and tubing. It mainly affects patients with limited mobility who have long-term catheters. Although benign in nature per se, its presence can alarm both patient and practitioner unfamiliar with the syndrome. Here, we describe two cases of asymptomatic patients who both presented to outpatient clinic with the characteristic purple discolouration of their long-term catheters and tubing. The report discusses the pathophysiology of the syndrome and initial investigation and management. Although the syndrome is considered benign, it may signify occult urine tract infection. This should not be ignored even if the patient is asymptomatic, given the likely co-morbidities of the patients affected. Healthcare professionals - particularly urologists and geriatricians - need to be aware of this unusual syndrome so as to initiate appropriate investigation and possible treatment as soon as possible.
紫色尿袋综合征是一种罕见的病症，表现为导尿管袋和导管出现紫色变色。它主要影响行动不便且长期留置导尿管的患者。尽管其本质上是良性的，但它的出现可能会使患者和不熟悉该综合征的医生感到惊慌。在此，我们描述两例无症状患者，他们均因长期导尿管和导管出现特征性紫色变色而前来门诊就诊。本报告讨论了该综合征的病理生理学以及初步检查和处理方法。尽管该综合征被认为是良性的，但它可能预示着隐匿性尿路感染。鉴于受影响患者可能存在的合并症，即使患者无症状，这一点也不应被忽视。医疗保健专业人员——尤其是泌尿科医生和老年病科医生——需要了解这种不寻常的综合征，以便尽快启动适当的检查并进行可能的治疗。
