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米老鼠征:一种用于顺应性膀胱和膀胱活动低下综合征的新体征。

The Mickey Mouse Sign: A Novel Sign for a Compliant and Underactive Bladder Syndrome.

作者信息

Abushamma Faris, Abu Alwafa Rola, Abatli Safaa, Akkawi Maha, Barqawi Abdelkarim

机构信息

Department of Medicine, College of Medicine and Health Sciences, An-Najah National University, Nablus, PSE.

Department of Urology, An-Najah National University Hospital, Nablus, PSE.

出版信息

Cureus. 2024 Oct 30;16(10):e72702. doi: 10.7759/cureus.72702. eCollection 2024 Oct.

DOI:10.7759/cureus.72702
PMID:39618642
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11606243/
Abstract

This article represents a unique CT-based sign called the Mickey Mouse sign in a diabetic female who presented with abdominal distension and mixed urinary symptoms. The CT scan showed that the bladder was massively dilated but compliant without impacting the upper urinary tract. The subtle clinical presentation and the impressive CT scan findings encouraged us to report this case as underactive bladder syndrome (UAB) is underreported and underinvestigated. Furthermore, the management and clinical course of UAB in such cases remain controversial.

摘要

本文介绍了一位患有腹胀和混合性泌尿系统症状的糖尿病女性患者,其基于CT的一种独特征象——米老鼠征。CT扫描显示膀胱大量扩张但顺应性良好,未影响上尿路。这种微妙的临床表现和令人印象深刻的CT扫描结果促使我们报告此病例,因为膀胱过度活动症(UAB)的报告和研究不足。此外,此类病例中UAB的管理和临床过程仍存在争议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e32/11606243/2646d900c614/cureus-0016-00000072702-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e32/11606243/cf4e8872f4d5/cureus-0016-00000072702-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e32/11606243/eadc1b3a0f94/cureus-0016-00000072702-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e32/11606243/2646d900c614/cureus-0016-00000072702-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e32/11606243/cf4e8872f4d5/cureus-0016-00000072702-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e32/11606243/eadc1b3a0f94/cureus-0016-00000072702-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e32/11606243/2646d900c614/cureus-0016-00000072702-i03.jpg

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本文引用的文献

1
Acontractile detrusor as an initial presentation of sacral spinal cord lesion: Case series.
Urologia. 2024 May;91(2):435-438. doi: 10.1177/03915603241230116. Epub 2024 Feb 12.
2
Mickey mouse sign.
Abdom Radiol (NY). 2019 Oct;44(10):3488-3489. doi: 10.1007/s00261-019-02063-7.
3
Fundamentals of terminology in lower urinary tract function.下尿路功能术语基础。
Neurourol Urodyn. 2018 Aug;37(S6):S13-S19. doi: 10.1002/nau.23768.
4
Diabetic Bladder Dysfunction:A Review.
糖尿病膀胱功能障碍:综述
Urology. 2019 Jan;123:1-6. doi: 10.1016/j.urology.2018.10.010. Epub 2018 Oct 21.
5
Terminology report from the International Continence Society (ICS) Working Group on Underactive Bladder (UAB).国际尿控协会(ICS)膀胱活动低下(UAB)工作组的术语报告。
Neurourol Urodyn. 2018 Nov;37(8):2928-2931. doi: 10.1002/nau.23701. Epub 2018 Sep 11.
6
Detrusor Underactivity and the Underactive Bladder: A Systematic Review of Preclinical and Clinical Studies.逼尿肌活动低下和功能低下性膀胱:临床前和临床研究的系统评价。
Eur Urol. 2018 Nov;74(5):633-643. doi: 10.1016/j.eururo.2018.07.037. Epub 2018 Aug 20.
7
Giant urinary bladder (11 000 mL in volume) with bilateral lower limb oedema: an unusual cause of inferior vena cava obstruction.巨大膀胱(容积达11000毫升)伴双侧下肢水肿:下腔静脉梗阻的罕见原因。
BMJ Case Rep. 2018 Aug 16;2018:bcr-2018-226794. doi: 10.1136/bcr-2018-226794.
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Recent advances in the understanding and management of underactive bladder.膀胱过度活动症的理解与管理方面的最新进展。
F1000Res. 2018 Apr 10;7:437. doi: 10.12688/f1000research.13660.1. eCollection 2018.
9
Definition and symptoms of underactive bladder.定义和症状的膀胱过度活动症。
Investig Clin Urol. 2017 Dec;58(Suppl 2):S61-S67. doi: 10.4111/icu.2017.58.S2.S61. Epub 2017 Nov 13.
10
Detrusor underactivity and the underactive bladder: a new clinical entity? A review of current terminology, definitions, epidemiology, aetiology, and diagnosis.逼尿肌活动低下和低活动膀胱:一个新的临床实体?对当前术语、定义、流行病学、病因学和诊断的综述。
Eur Urol. 2014 Feb;65(2):389-98. doi: 10.1016/j.eururo.2013.10.015. Epub 2013 Oct 26.