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伴有广泛造影剂外渗的腹膜外膀胱损伤——病例报告

Extraperitoneal bladder injury with extensive contrast extravasation - A case report.

作者信息

Ward Haven, Nazim Muhammad, Jiang Ruiyang

机构信息

Department of Medical Education School of Medicine, Texas Tech University Health Sciences Center, Physical Address 6040 Belpree Rd Apt#H294, Amarillo, TX, 79107, USA.

Department of Surgery, Texas Tech University Health Sciences Center, Amarillo, TX, USA.

出版信息

Urol Case Rep. 2022 Feb 5;42:102024. doi: 10.1016/j.eucr.2022.102024. eCollection 2022 May.

Abstract

Extraperitoneal bladder ruptures account for 70-90% of all bladder injuries. Management of uncomplicated extraperitoneal bladder ruptures may be treated conservatively with catheter drainage via foley or suprapubic tube. The extend of contrast extravasation at the time of cystogram does not typically affect therapy. We presented a case of a 59 -year-old- male who sustained a traumatic extraperitoneal bladder rupture after falling off a horse. The patient had severe contrast extravasation into the extraperitoneal space. Conservative management was the treatment of choice. The patient's bladder injury successfully healed after prolonged management with foley catheter decompression.

摘要

腹膜外膀胱破裂占所有膀胱损伤的70% - 90%。单纯性腹膜外膀胱破裂的处理可通过经Foley导尿管或耻骨上管进行导管引流保守治疗。膀胱造影时造影剂外渗的范围通常不影响治疗。我们报告了一例59岁男性患者,其从马背上摔下后发生外伤性腹膜外膀胱破裂。该患者腹膜外间隙有严重的造影剂外渗。保守治疗是首选的治疗方法。经长期Foley导尿管减压治疗后,患者的膀胱损伤成功愈合。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72de/9073217/4d3ebfc79a3c/gr1.jpg

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