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完全性尿道断裂作为导尿并发症表现为阴囊肿块：1例罕见病例。

Complete urethral disruption as a complication of urethral catheterization presenting as scrotal mass: A rare case.

作者信息

Sihombing Aaron Tigor, Palgunadi I Nyoman, Stefanus Dicky

机构信息

Department of Urology, Faculty of Medicine Universitas Padjadjaran, General Hospital Hasan Sadikin Bandung, Indonesia.

出版信息

Urol Case Rep. 2020 Aug 11;33:101378. doi: 10.1016/j.eucr.2020.101378. eCollection 2020 Nov.

DOI:10.1016/j.eucr.2020.101378
PMID:33102076
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7574150/
Abstract

Complete urethral disruption due to urethral catheterization is rarely documented. Only seven cases of iatrogenic complete urethral disruption were reported from 1997 to 2003. We describe a case of complete urethral disruption due to urethral catheterization in an 80-year-old male who was referred because of a scrotal mass. Physical examination showed a palpable non-fluctuation mass in the scrotum and ultrasound examination revealed an intrascrotal balloon catheter. This was an obscure case of urethral catheterization complication presenting as a scrotal mass in an octogenarian patient with Fournier's gangrene.

摘要

因尿道插管导致的完全性尿道断裂鲜有文献记载。1997年至2003年期间仅报告了7例医源性完全性尿道断裂病例。我们描述了一例80岁男性因尿道插管导致完全性尿道断裂的病例，该患者因阴囊肿物前来就诊。体格检查发现阴囊内可触及一个无波动感的肿物，超声检查显示阴囊内有一个气囊导管。这是一例隐匿性尿道插管并发症病例，表现为一名患有福尼尔坏疽的老年患者阴囊内肿物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47e5/7574150/beb265056183/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47e5/7574150/38e3c8297f43/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47e5/7574150/beb265056183/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47e5/7574150/38e3c8297f43/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47e5/7574150/beb265056183/gr2.jpg

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本文引用的文献

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Incidence, Cost, Complications and Clinical Outcomes of Iatrogenic Urethral Catheterization Injuries: A Prospective Multi-Institutional Study.医源性尿道导管损伤的发生率、成本、并发症和临床结局：一项前瞻性多机构研究。
J Urol. 2016 Nov;196(5):1473-1477. doi: 10.1016/j.juro.2016.05.114. Epub 2016 Jun 16.
2
Current epidemiology of genitourinary trauma.目前泌尿生殖系统创伤的流行病学。
Urol Clin North Am. 2013 Aug;40(3):323-34. doi: 10.1016/j.ucl.2013.04.001. Epub 2013 Jun 12.
3
Immediate endoscopic management of complete iatrogenic anterior urethral injuries: a case series with long-term results.
Basic Clin Androl. 2022 Jul 19;32(1):12. doi: 10.1186/s12610-022-00162-y.
医源性完全性前尿道损伤的即时内镜处理：一项长期随访结果的病例系列研究
BMC Urol. 2005 Nov 9;5:13. doi: 10.1186/1471-2490-5-13.
4
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