Department of Urology, George Washington University, Washington DC, USA.
Division of Pediatric Urology, Children's National Medical Center, Washington DC, USA.
J Pediatr Urol. 2018 Oct;14(5):455-456. doi: 10.1016/j.jpurol.2018.04.017. Epub 2018 May 12.
Stomal prolapse is a known late complication of urinary diversions commonly used in urology. While rare, it can lead to ischemia, necrosis, and obstruction of the stoma, requiring urgent reduction before formal revision can be undertaken. Several measures can be attempted to reduce the prolapse including manual pressure and topical osmotic agents. One method that has not been reported in the urologic literature is the use of hyaluronidase. Herein, we report the first case in the literature of hyaluronidase usage to assist in reduction of an ischemic and obstructed prolapsed incontinent ileovesicostomy after manual compression failed.
肠造口脱垂是泌尿科常用尿路转流术的已知晚期并发症。虽然罕见，但它可导致造口缺血、坏死和梗阻，需要在正式修复前进行紧急复位。可以尝试几种方法来减少脱垂，包括手动按压和局部渗透压剂。在泌尿科文献中尚未报道的一种方法是使用透明质酸酶。在此，我们报告首例文献报道的透明质酸酶使用病例，以协助手动按压失败后复位缺血和阻塞性脱垂的不可控回肠膀胱造口。
