Albukhari Saeed N, Khawaji Abdullah, Azhar Raed A
Medicine, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.
Urology, International Medical Centre, Jeddah, SAU.
Cureus. 2021 Feb 5;13(2):e13150. doi: 10.7759/cureus.13150.
Iatrogenic bladder injuries with intraperitoneal extravasations are standardly managed surgically. However, we are presenting a case of iatrogenic intraperitoneal bladder injury developing after a cesarean section that was managed successfully by conservative therapy after tapping and pigtail drainage of 14 days. On the next follow up, which was 14 days later, there was a complete resolution with no signs of injury. Therefore, the trial of conservative approach may prove beneficial to minimize the chances of any invasive interventions in such cases.
医源性膀胱损伤伴腹腔内渗尿通常采用手术治疗。然而,我们报告了1例剖宫产术后发生的医源性腹腔内膀胱损伤病例,经14天穿刺和猪尾导管引流后采用保守治疗成功治愈。在接下来14天后的随访中,损伤完全愈合,无损伤迹象。因此,在这类病例中,尝试保守治疗方法可能有利于减少任何侵入性干预的机会。