近端膀胱皮肤瘘导致的鞘内巴氯芬泵囊袋脓胸的处理：一例报告
Management of an intrathecal baclofen pump pocket empyema caused by a proximal vesicocutaneous fistula: A case report.
作者信息
Themistoklis Konstantinos Michail, Kossivas Alexandros, Korfias Stefanos, Papasilekas Themistoklis Ioannis
机构信息
Department of Neurosurgery, "Korgialenio-Benakio-HRC" General Hospital of Athens, Greece.
Department of Neurosurgery, "Evaggelismos" General Hospital of Athens, Athens, Greece.
出版信息
Surg Neurol Int. 2024 May 31;15:185. doi: 10.25259/SNI_47_2024. eCollection 2024.
BACKGROUND
Intrathecal baclofen infusing pumps are nowadays commonly implanted in patients suffering from severe, intractable spasticity with a background of multiple sclerosis. Although intrathecal baclofen therapy is considered a safe therapeutic modality, complications are unavoidable and broadly categorized as mechanical and infectious. In the instance of a pump pocket infection, a surgical explanation of the pump is often necessary to treat the infection.
CASE DESCRIPTION
We present the rare case of a 60-year-old woman who was admitted emergently to our clinic with a subcutaneous pump pocket empyema caused by proximal vesicocutaneous fistulas. The patient underwent explantation of the pump and otherwise had an uncomplicated perioperative course.
CONCLUSION
The surgical explanation of the baclofen pump and antibiotic treatment were sufficient to treat the pump pocket empyema in this instance. To the best of our knowledge, this is the first report of a pump pocket empyema formed in the proximity of a vesicocutaneous fistula.
背景
鞘内注射巴氯芬泵如今常用于患有严重、难治性痉挛且伴有多发性硬化症背景的患者。尽管鞘内注射巴氯芬疗法被认为是一种安全的治疗方式，但并发症不可避免，大致可分为机械性和感染性。在泵袋感染的情况下，通常需要对泵进行手术处理以治疗感染。
病例描述
我们报告了一例罕见病例，一名60岁女性因近端膀胱皮肤瘘导致皮下泵袋积脓而紧急入住我们的诊所。患者接受了泵的取出手术，围手术期过程顺利。
结论
在这种情况下，对巴氯芬泵进行手术处理和抗生素治疗足以治疗泵袋积脓。据我们所知，这是第一例关于在膀胱皮肤瘘附近形成泵袋积脓的报告。
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