耻骨联合骨髓炎伴会阴部-耻骨联合瘘：一种难以诊断的疾病。
Pubic symphysis osteomyelitis with associated vesico-symphyseal fistula: a difficult diagnosis.
机构信息
Medical Student Affairs, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USA
Medical Student Affairs, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USA.
出版信息
BMJ Case Rep. 2021 Sep 20;14(9):e244336. doi: 10.1136/bcr-2021-244336.
Pubic symphysis osteomyelitis is an infectious complication that rarely arises in men who have undergone treatment for prostate cancer. This process may more rarely arise from a fistulous tract between the pubic symphysis and the urinary tract. In this case report, we discuss the most common clinical presentations and laboratory findings that lead to the diagnosis of this disease process, as well as the role of MRI and other imaging modalities in confirmation of the diagnosis. This case serves as a reminder to clinicians to have earlier consideration of pubic symphysis osteomyelitis in their differential diagnosis to reduce the risk of long-term complications associated with undertreatment.
耻骨联合骨髓炎是一种感染性并发症，在接受前列腺癌治疗的男性中很少发生。这种情况可能更罕见地源于耻骨联合和泌尿道之间的瘘管。在本病例报告中，我们讨论了导致这种疾病过程诊断的最常见临床表现和实验室发现，以及 MRI 和其他成像方式在确诊中的作用。本病例提醒临床医生在鉴别诊断中更早考虑耻骨联合骨髓炎，以降低治疗不足相关的长期并发症风险。
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