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骑跨伤后尿道静脉瘘:一例病例报告及影像系列

Urethro-venous fistula following straddle injury: A case report and image series.

作者信息

Barker T, D'hulst P, Fong E

机构信息

Department of Urology, Auckland City Hospital, 2 Park Road, Auckland, 1023, New Zealand.

Department of Urology, AZ Sint-Jan, Ruddershove 10, 8000, Brugge, Belgium.

出版信息

Urol Case Rep. 2022 Aug 7;45:102184. doi: 10.1016/j.eucr.2022.102184. eCollection 2022 Nov.

DOI:10.1016/j.eucr.2022.102184
PMID:36016722
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9396026/
Abstract

We present a case of a 49-year-old man with an acute traumatic urethral injury after a fall onto a fence post. Retrograde contrast study showed a contrast leak and suspicion of a traumatic urethro-venous fistula. We successfully placed a urethral indwelling catheter (IDC) in the operating room and follow-up urethrocystoscopy showed healing of the injury. The patient remained asymptomatic during further follow-up visits.

摘要

我们报告一例49岁男性患者,其因摔倒在围栏柱上后发生急性创伤性尿道损伤。逆行造影检查显示有造影剂渗漏,怀疑存在创伤性尿道静脉瘘。我们在手术室成功置入了一根尿道留置导管(IDC),后续的尿道膀胱镜检查显示损伤已愈合。在进一步的随访中,患者一直无症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a9e/9396026/60ecdb1eab0f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a9e/9396026/6912526b599a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a9e/9396026/b14f22d99a23/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a9e/9396026/60ecdb1eab0f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a9e/9396026/6912526b599a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a9e/9396026/b14f22d99a23/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a9e/9396026/60ecdb1eab0f/gr3.jpg

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Urethro-venous fistula following straddle injury: A case report and image series.骑跨伤后尿道静脉瘘:一例病例报告及影像系列
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本文引用的文献

1
Emergency treatment of male blunt urethral trauma in China: Outcome of different methods in comparison with other countries.中国男性钝性尿道损伤的急诊治疗:不同方法的结果与其他国家的比较。
Asian J Urol. 2018 Apr;5(2):78-87. doi: 10.1016/j.ajur.2017.04.004. Epub 2017 Aug 7.
2
Incidence, Cost, Complications and Clinical Outcomes of Iatrogenic Urethral Catheterization Injuries: A Prospective Multi-Institutional Study.医源性尿道导管损伤的发生率、成本、并发症和临床结局:一项前瞻性多机构研究。
J Urol. 2016 Nov;196(5):1473-1477. doi: 10.1016/j.juro.2016.05.114. Epub 2016 Jun 16.
3
Urethro-venous intravasation: a rare complication of retrograde urethrogram.
尿道-静脉内造影剂外渗:逆行尿道造影的一种罕见并发症。
BMJ Case Rep. 2016 Apr 4;2016:bcr2016215206. doi: 10.1136/bcr-2016-215206.
4
Management of urethral lesions in penile blunt trauma.阴茎钝性创伤中尿道损伤的处理
Int J Urol. 2006 Sep;13(9):1218-20. doi: 10.1111/j.1442-2042.2006.01534.x.
5
Urethro-venous intravasation during retrograde urethrography (report of 5 cases).逆行尿道造影术中的尿道-静脉内造影剂外渗(5例报告)
J Postgrad Med. 1991 Apr;37(2):102-4, 104A-104B.