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脊髓损伤患者长期留置导尿管致尿道瘘引起的阴囊脓肿

Scrotal abscess due to urethral fistula in spinal cord injured patient with prolonged indwelling urinary catheter.

作者信息

Djatisoesanto Wahjoe, Ranuh I G M Aswin R, Faris Muhammad, Subagio Eko Agus, Al Fauzi Asra

机构信息

Department of Urology, Universitas Airlangga, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.

Department of Neurosurgery, Universitas Airlangga, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.

出版信息

Urol Ann. 2021 Jan-Mar;13(1):83-85. doi: 10.4103/UA.UA_21_20. Epub 2021 Jan 19.

DOI:10.4103/UA.UA_21_20
PMID:33897172
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8052912/
Abstract

We report a case of scrotal abscess due to urethral fistula in a paraplegic patient with spinal cord injury. On clinical examination, an urinary catheters was placed, and the left scrotal area were swollen, redness and painless. Retrograde urethrography suggested an urethral fistula with extension spreading of contrast medium into the scrotum. The case was diagnosed as urethral fistula with scrotal abscess. The patient was successfully treated with cystostomy, scrotal incision, and pus drainage. Early detection and proper management provide opportunities to improve the outcome of this disease.

摘要

我们报告一例脊髓损伤截瘫患者因尿道瘘导致阴囊脓肿的病例。临床检查时，置入了导尿管，左侧阴囊区域肿胀、发红且无痛。逆行尿道造影显示存在尿道瘘，造影剂向阴囊蔓延。该病例被诊断为尿道瘘合并阴囊脓肿。患者通过膀胱造瘘、阴囊切开及引流脓液得到了成功治疗。早期发现和恰当处理为改善该病的预后提供了机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ddd/8052912/a8e4f36b8182/UA-13-83-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ddd/8052912/5cd6e2be64c0/UA-13-83-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ddd/8052912/a8e4f36b8182/UA-13-83-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ddd/8052912/5cd6e2be64c0/UA-13-83-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ddd/8052912/a8e4f36b8182/UA-13-83-g002.jpg

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Urol Ann. 2021 Jan-Mar;13(1):83-85. doi: 10.4103/UA.UA_21_20. Epub 2021 Jan 19.
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本文引用的文献

1
Scrotal Abscess Drained by Iatrogenic Urethral Fistula in an Adult Diabetic Male.成年糖尿病男性患者因医源性尿道瘘致阴囊脓肿引流
Case Rep Urol. 2017;2017:9820245. doi: 10.1155/2017/9820245. Epub 2017 Jul 17.
2
Scrotal abscess: Varied etiology, associations, and management.阴囊脓肿：病因、关联因素及治疗的多样性
J Indian Assoc Pediatr Surg. 2016 Oct-Dec;21(4):164-168. doi: 10.4103/0971-9261.186545.
3
Urethroscrotal Fistula: A Rare Cause of Scrotal Swelling.尿道阴囊瘘：阴囊肿胀的罕见原因。
Pol J Radiol. 2016 Sep 14;81:438-40. doi: 10.12659/PJR.897937. eCollection 2016.
4
Urethrogluteal fistula developing secondary to the use of clean intermittent self-catheterization: first case report in the literature.清洁间歇性自我导尿继发尿道臀瘘：文献中首例病例报告
Case Rep Urol. 2014;2014:218037. doi: 10.1155/2014/218037. Epub 2014 Oct 2.
5
Urethral diverticulum presenting as a scrotal mass in a paraplegic male: Report of a case and review of the literature.截瘫男性患者中表现为阴囊肿物的尿道憩室：一例报告并文献复习
Cent European J Urol. 2011;64(3):182-3. doi: 10.5173/ceju.2011.03.art20. Epub 2011 Sep 6.
6
Acquired urethral diverticulum in a man with paraplegia presenting with a scrotal mass: a case report.一名截瘫男性患者出现阴囊肿物，诊断为后天性尿道憩室：病例报告
J Med Case Rep. 2012 Nov 21;6:392. doi: 10.1186/1752-1947-6-392.