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直肠异物:导致伴有血尿的直肠膀胱瘘的意外原因。

A rectal foreign body: An unexpected cause of a rectovesical fistula with hematuria.

作者信息

Hosni Abdelmoughit, Saouli Amine, Koutani Abdellatif, Iben Attya Andalousi Ahmed, Jroundi Laila, Laamrani Fatima Zahrae

机构信息

Department of Emergency Radiology, Ibn Sina Universitary Hospital, Rabat, Morocco.

Faculty of Medicine and Pharmacy of Rabat, University Mohamed V, Rabat, Morocco.

出版信息

Urol Case Rep. 2021 Feb 4;36:101596. doi: 10.1016/j.eucr.2021.101596. eCollection 2021 May.

Abstract

Cases of rectal foreign bodies (RFB) insertion are frequently encountred in the last years, leading to many complications, while many patients tends to obscure the context. This entity represent a particular form of rectal injuries that can be more lethal with the peritoneal involvement. However, combination of genitourinary injuries to rectal injuries doesn't worsen the prognosis. We report a case of a RFB injury leading to an extraperitoneal rectal injuri with a recto-vesical fistula that was managed effectively conservatively with successive CT Cystogram follow-ups.

摘要

近年来,直肠异物插入病例屡见不鲜,引发诸多并发症,且许多患者往往对相关情况避而不谈。这种情况代表了一种特殊形式的直肠损伤,若累及腹膜,可能更具致命性。然而,直肠损伤合并泌尿生殖系统损伤并不会使预后恶化。我们报告一例直肠异物损伤导致腹膜外直肠损伤并伴有直肠膀胱瘘的病例,该病例通过连续的CT膀胱造影随访进行保守治疗,效果良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b6e/7872978/c1a60777af83/gr1.jpg

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