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床旁超声诊断膀胱憩室

Diagnosis of Bladder Diverticula with Point-of-Care Ultrasound.

作者信息

Lahham Shadi, Gutierrez Salvador

机构信息

University of California, Irvine, Department of Emergency Medicine, Orange, California.

出版信息

Clin Pract Cases Emerg Med. 2021 Nov;5(4):466-467. doi: 10.5811/cpcem.2021.7.53199.

DOI:10.5811/cpcem.2021.7.53199
PMID:34813446
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8610476/
Abstract

CASE PRESENTATION

A 65-year-old male presented to the emergency department with symptoms including fever, abnormal urinalysis, and elevated post-void residual. Point-of-care ultrasound was used to rapidly diagnose a bladder diverticulum. The patient was subsequently seen by urology for outpatient bladder repair.

DISCUSSION

Bladder diverticula, an out-pouching of the bladder, may occur congenitally or as a result of various bladder conditions and/or surgery. Although bladder diverticula are rare and often asymptomatic, severe complications including frequent recurring urinary tract infections may arise depending on the patient.

摘要

病例报告

一名65岁男性因发热、尿液分析异常及残余尿量增加等症状前往急诊科就诊。床旁超声检查迅速诊断出膀胱憩室。随后患者被泌尿外科门诊收治进行膀胱修复手术。

讨论

膀胱憩室是膀胱的一种向外膨出,可先天性发生,也可由各种膀胱疾病和/或手术引起。尽管膀胱憩室很少见且通常无症状,但根据患者情况可能会出现包括频繁复发性尿路感染在内的严重并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eee8/8610476/7c9169903d07/cpcem-5-466-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eee8/8610476/7c9169903d07/cpcem-5-466-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eee8/8610476/7c9169903d07/cpcem-5-466-g001.jpg

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Multiple Bladder Diverticula Presenting in an 82-Year-Old Congolese Male.一名82岁刚果男性出现多发性膀胱憩室
Case Rep Surg. 2022 Jun 10;2022:9295861. doi: 10.1155/2022/9295861. eCollection 2022.

本文引用的文献

1
Endoscopic Management of Bladder Diverticula.膀胱憩室的内镜治疗
Rev Urol. 2016;18(2):114-7. doi: 10.3909/riu0701.
2
The spectrum of histopathologic findings in vesical diverticulum: implications for pathogenesis and staging.膀胱憩室的组织病理学表现谱:对发病机制和分期的影响。
Hum Pathol. 2013 Jul;44(7):1223-32. doi: 10.1016/j.humpath.2012.11.005. Epub 2013 Jan 31.
3
Diverticula of the Urinary Bladder.膀胱憩室
Ann Surg. 1944 May;119(5):656-64. doi: 10.1097/00000658-194405000-00002.
4
Bladder diverticula in children.儿童膀胱憩室
Radiology. 1994 Mar;190(3):695-7. doi: 10.1148/radiology.190.3.8115613.