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直肠脱垂与尿潴留：一例“肛门膀胱膨出”病例报告

Rectal prolapse and urinary retention: A case report of an "anal cystocele".

作者信息

Florian-Rodriguez Maria E, Mehta Kinjal, Khatri Gaurav, Schaffer Joseph I

机构信息

UT Southwestern Medical Center, Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, United States.

UT Southwestern School of Medicine, United States.

出版信息

Case Rep Womens Health. 2019 Feb 4;21:e00100. doi: 10.1016/j.crwh.2019.e00100. eCollection 2019 Jan.

DOI:10.1016/j.crwh.2019.e00100
PMID:30792964
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6370581/
Abstract

BACKGROUND

Concomitant rectal and vaginal prolapse is diagnosed in 14-55% of patients who present for pelvic floor evaluation.Case: A patient was referred for pelvic floor evaluation in the setting of rectal prolapse and urinary retention. Preoperative magnetic resonance (MR) imaging revealed the presence of a posterior cystocele prolapsing through the full-thickness rectal prolapse.

CONCLUSION

Rectal prolapse with concomitant urinary retention should raise suspicion for posterior bladder prolapse. Here we propose the new term "anal cystocele". MR imaging aids in the diagnosis and treatment planning for this condition.

摘要

背景

在接受盆底评估的患者中，14% - 55%被诊断为直肠和阴道脱垂并存。病例：一名患者因直肠脱垂和尿潴留前来接受盆底评估。术前磁共振成像显示存在一个经全层直肠脱垂突出的后壁膀胱膨出。

结论

伴有尿潴留的直肠脱垂应引起对后壁膀胱膨出的怀疑。在此我们提出“肛门膀胱膨出”这一新术语。磁共振成像有助于对此病症的诊断和治疗规划。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd5/6370581/1dcd11b3b1fe/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd5/6370581/81224bdc334d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd5/6370581/1dcd11b3b1fe/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd5/6370581/81224bdc334d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd5/6370581/1dcd11b3b1fe/gr2.jpg

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本文引用的文献

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Int Urogynecol J. 2016 Jun;27(6):939-44. doi: 10.1007/s00192-015-2914-3. Epub 2015 Dec 15.
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Sacrocolpopexy with rectopexy for pelvic floor prolapse improves bowel function and quality of life.经阴道骶骨固定直肠阴道固定术治疗盆底脱垂可改善肠道功能和生活质量。
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Radiology. 2006 Aug;240(2):449-57. doi: 10.1148/radiol.2401050648. Epub 2006 Jun 26.
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Dis Colon Rectum. 2001 Jul;44(7):920-6. doi: 10.1007/BF02235476.
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