Passarelli Rachel, Elyaguov Jason, Fox Cristina, Bergamaschi Roberto, Matthews Gerald
Department of Urology, New York Medical College/Westchester Medical Center, 100 Woods Rd, Valhalla, NY, 10595, USA.
Department of Surgery, New York Medical College/Westchester Medical Center, 100 Woods Rd, Valhalla, NY, 10595, USA.
Urol Case Rep. 2020 Nov 7;34:101489. doi: 10.1016/j.eucr.2020.101489. eCollection 2021 Jan.
A 62-year-old male presented with abdominal pain and hematuria following impalement of the rectum with a wooden foreign object. CT imaging showed air and fluid in the peritoneum prompting the patient to undergo abdominal exploration. An anterior rectal perforation was discovered along with dual bladder lacerations of the posterior wall and dome. The patient underwent a diverting colostomy and primary bladder repair. Post-operative course was uncomplicated and bladder repair was followed via cystograms with catheter removal 2 months post-operatively. Four months after the injury the patient underwent colostomy closure and remains with normal bladder and bowel function at 21-month follow-up.
一名62岁男性因被木质异物刺入直肠后出现腹痛和血尿。CT成像显示腹膜内有气体和液体，促使患者接受腹部探查。发现直肠前穿孔以及膀胱后壁和顶部的两处撕裂伤。患者接受了转流性结肠造口术和膀胱一期修复。术后过程顺利，术后2个月通过膀胱造影监测膀胱修复情况并拔除导尿管。受伤4个月后，患者接受了结肠造口关闭术，在21个月的随访中，膀胱和肠道功能恢复正常。
