因骨盆骨折致尿道损伤导致小儿膀胱颈狭窄，阑尾膀胱造口术失败后行 continent 回盲部膀胱扩大术：一例报告

Continent ileocaecocystoplasty bladder augmentation following a failed appendicovesicostomy on pediatric bladder neck stricture due to pelvic fracture urethral injury: A case report.

作者信息

Christanto Abraham Gita Ramanda, Daniswara Nanda, Raharjo Rudiyuwono, Santosa Ardy, Nugroho Eriawan Agung, Addin Sofyan Rais

机构信息

Department of Surgery, Faculty of Medicine Universitas Diponegoro, Dr. Kariadi General Hospital, Semarang, Indonesia.

Urology Division, Department of Surgery, Faculty of Medicine Universitas Diponegoro, Dr. Kariadi General Hospital, Semarang, Indonesia.

出版信息

Urol Case Rep. 2022 Nov 23;45:102288. doi: 10.1016/j.eucr.2022.102288. eCollection 2022 Nov.

DOI:10.1016/j.eucr.2022.102288

PMID:36457952

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9706521/

Abstract

Pelvic fracture urethral injury (PFUI) in pediatrics is rare, may involve the bladder neck, and may lead to obstruction and urinary incontinence as a lifelong disability. A 9-year-old female patient had a bladder neck injury related to PFUI after an accident when she was 6 years old and had urinary incontinence. In the previous hospital, the patient underwent appendicovesicostomy but the surgery failed. Continent ileocaecocystoplasty for a definitive treatment was done in our hospital involving the caecum, ileocaecal valve, and ileum. This procedure was delivered safely and brought a good result to the patient with no significant complications.

摘要

小儿骨盆骨折所致尿道损伤（PFUI）较为罕见，可能累及膀胱颈，并可能导致梗阻和尿失禁，成为终身残疾。一名9岁女性患者在6岁时因意外导致与PFUI相关的膀胱颈损伤，并出现尿失禁。在之前的医院，该患者接受了阑尾膀胱造口术，但手术失败。我院为其进行了可控性回盲部膀胱扩大术作为确定性治疗，涉及盲肠、回盲瓣和回肠。该手术顺利完成，给患者带来了良好效果，且无明显并发症。