Lee Young, Bhinder Jasmine, Sirsi Sandeep, Etwaru Dhanan, Asarian Armand, Xiao Philip
Department of Surgery, The Brooklyn Hospital Center, Ichan School of Medicine at Mount Sinai, 121 Dekalb Avenue, Brooklyn, NY, USA.
Department of Pathology, The Brooklyn Hospital Center, Ichan School of Medicine at Mount Sinai, 121 Dekalb Avenue, Brooklyn, NY, USA.
J Surg Case Rep. 2018 Jun 23;2018(6):rjy136. doi: 10.1093/jscr/rjy136. eCollection 2018 Jun.
There is lack of information in the literature on long-term complications of suprapubic catheters. The most common complications include urinary tract infection, bladder calculi, urine leakage and neoplastic changes. We report a case of an unusual complication of bladder prolapse, with subsequent diagnosis of urothelial carcinoma, leading to a necrotizing soft tissue infection after a radical cystectomy in a patient with long-term catheterization and its management. Due to the rarity of this complication, its management has not been well studied. In this particular case, the logical indication was radical cystectomy due to the presence of bladder necrosis.
文献中缺乏关于耻骨上导尿管长期并发症的信息。最常见的并发症包括尿路感染、膀胱结石、尿液渗漏和肿瘤性改变。我们报告一例膀胱脱垂的罕见并发症病例，随后诊断为尿路上皮癌，导致一名长期留置导尿管患者在根治性膀胱切除术后发生坏死性软组织感染及其处理情况。由于这种并发症罕见，其处理方法尚未得到充分研究。在这个特殊病例中，由于存在膀胱坏死，合理的治疗方法是根治性膀胱切除术。
