Ibrahimi Ahmed, Ziani Idriss, El Boukili El Makhoukhi Zayd, El Sayegh Hachem, Benslimane Lounis, Nouini Yassine
Department of Urology A, Ibn Sina University Hospital, Faculty of Medicine and Pharmacy, Mohammed V University in Rabat, Morocco.
Urol Case Rep. 2020 Oct 24;34:101465. doi: 10.1016/j.eucr.2020.101465. eCollection 2021 Jan.
Transurethral resection (TUR) syndrome is a rare and serious complication of bladder perforation during transurethral resection of bladder tumor (TURBT), secondary to the excessive absorption of electrolytes-free irrigating fluid by extravascular route. Its defined as the combination of clinical cardiovascular and/or neurological manifestations, along with hyponatremia. Herein we report a rare case of 61-year-old patient, who presented a typical and severe TUR syndrome, secondary to intraperitoneal bladder perforation during TURBT, requiring intubation and positive inotropic drugs in the intensive care unit (ICU), and which was successfully managed conservatively. The patient was discharged from the hospital without any complications.
经尿道切除术(TUR)综合征是经尿道膀胱肿瘤切除术(TURBT)期间膀胱穿孔的一种罕见且严重的并发症,继发于无电解质冲洗液通过血管外途径的过度吸收。它被定义为临床心血管和/或神经学表现以及低钠血症的组合。在此,我们报告一例罕见的61岁患者,该患者在TURBT期间因腹膜内膀胱穿孔出现典型且严重的TUR综合征,在重症监护病房(ICU)需要插管和使用正性肌力药物,并通过保守治疗成功处理。患者出院时无任何并发症。