Harada Junki, Takehara Kosuke, Watanabe Junichi
Department of Urology and Renal Transplantation, Nagasaki University Hospital, Nagasaki, Japan.
Department of Urology, Nagasaki Harbor Medical Center, Nagasaki, Japan.
Urol Case Rep. 2021 Mar 2;37:101622. doi: 10.1016/j.eucr.2021.101622. eCollection 2021 Jul.
A 24-year-old man presented with anal bleeding after accidentally falling on a table leg. Computed tomography showed free air in the bladder and around the rectum with a high-density area without intraperitoneal free air. The patient was suspected of having extraperitoneal bladder perforation with rectal impalement, and he underwent transanal rectal repair, colostomy, and urethral catheter placement after intraperitoneal bladder perforation was excluded by exploratory laparoscopy. Postoperative course was uneventful, and the urethral catheter was removed 19 days after surgery. Three months after the operation, colostomy reversal was performed, and the patient did not experience any complications.
一名24岁男性在不慎撞到桌腿后出现肛门出血。计算机断层扫描显示膀胱内及直肠周围有游离气体，存在一个高密度区域，无腹腔内游离气体。该患者被怀疑为腹膜外膀胱穿孔合并直肠刺伤，在通过探查性腹腔镜检查排除腹腔内膀胱穿孔后，他接受了经肛门直肠修补术、结肠造口术及尿道导管置入术。术后过程顺利，术后19天拔除尿道导管。术后三个月进行了结肠造口还纳术，患者未出现任何并发症。
