Lachkar Adnane, Yacoubi Hicham, Abdeljaouad Najib
Orthopedic Trauma Department B, Mohammed VI University Hospital, Oujda, MAR.
Orthopedic Trauma Department B, Faculty of Medicine and Pharmacy of Oujda, University Mohammed First, Oujda, MAR.
Cureus. 2024 Aug 5;16(8):e66207. doi: 10.7759/cureus.66207. eCollection 2024 Aug.
Iatrogenic bladder rupture is a rare yet serious complication associated with orthopedic surgical procedures, particularly those involving the modified Stoppa (MS) approach for acetabular fractures. We present a case of a 65-year-old patient who experienced iatrogenic bladder rupture during surgery for acetabular fracture fixation using the MS approach. Despite the challenges posed by this complication, prompt diagnosis and repair during the same surgical intervention led to favorable outcomes. Our case underscores the importance of perioperative vigilance in detecting and managing such injuries to mitigate the risk of urinary tract complications and late infections. Understanding the anatomical nuances and employing meticulous surgical techniques are essential for minimizing the risks associated with the MS approach.
医源性膀胱破裂是一种罕见但严重的与骨科手术相关的并发症，尤其是那些涉及改良Stoppa（MS）入路治疗髋臼骨折的手术。我们报告一例65岁患者，在使用MS入路进行髋臼骨折固定手术期间发生医源性膀胱破裂。尽管该并发症带来了挑战，但在同一手术干预过程中及时诊断并修复，取得了良好的结果。我们的病例强调了围手术期警惕性在检测和处理此类损伤以降低泌尿系统并发症和晚期感染风险方面的重要性。了解解剖细微差别并采用细致的手术技术对于将与MS入路相关的风险降至最低至关重要。
