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导尿管使用导致的医源性膀胱阴道瘘:一例报告。

Enterovesical fistula as an iatrogenic complication of foley catheter use: A case report.

作者信息

Hobday Amy, Chung Minh, Rola Darshan, Zacharias Brian, Potdar Santosh

机构信息

Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, 3200 S University Dr, Davie, FL, 33328, USA.

Bayfront Health Brooksville/Bayfront Health Spring Hill, 120 Medical Board Suite 106 Springhill, FL, 34609, USA.

出版信息

Urol Case Rep. 2022 Mar 25;43:102065. doi: 10.1016/j.eucr.2022.102065. eCollection 2022 Jul.

Abstract

Enterovesical fistulas can represent a rare complication of long-term indwelling urinary catheters. It can lead to significant morbidity and mortality and usually requires emergent intervention. An elderly nursing home resident presented with abdominal pain and fecal matter in her urine. She was found to have a foley catheter bulb in the small bowel and successfully underwent open repair of the bladder defect along with partial small bowel resection. The diagnosis and management of Enterovesical fistulas as an iatrogenic complication of Foley catheter use is discussed.

摘要

膀胱肠道瘘可表现为长期留置导尿管的一种罕见并发症。它可导致严重的发病率和死亡率,通常需要紧急干预。一名老年疗养院居民出现腹痛且尿液中有粪便物质。发现她的导尿管球囊位于小肠内,随后成功接受了膀胱缺损的开放修复及部分小肠切除术。本文讨论了作为使用 Foley 导尿管的医源性并发症的膀胱肠道瘘的诊断和处理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c3b/8965901/c7202d5a8bbc/gr1.jpg

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