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腹直肌鞘前回肠导管节段扭转表现为急性尿潴留。

Volvulus of segment of ileal conduit anterior to the rectus sheath presenting as acute urinary retention.

作者信息

Viswaroop S Bobby, Gopalakrishnan Ganesh

机构信息

Department of Urology, Vedanayagam Hospital and PG Institute, Coimbatore, Tamil Nadu, India.

出版信息

Indian J Urol. 2025 Jul-Sep;41(3):225-227. doi: 10.4103/iju.iju_34_25. Epub 2025 Jul 1.

DOI:10.4103/iju.iju_34_25
PMID:40756237
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12312836/
Abstract

Conduit-related complications often occur late and are challenging to treat. A septuagenarian, 12 years following radical cystectomy and ileal conduit (IC) for T1G3 bladder cancer, presented with stomal stenosis which was managed by temporary placement of catheter into the conduit. One year later, he presented with no urine output from the conduit due to a double block resulting from a volvulus of the subcutaneous portion of the IC. After confirmation of the diagnosis with a computed tomography scan, the patient was managed by a reduction of the conduit length and a Turnbull stoma.

摘要

与导管相关的并发症通常发生较晚,且治疗具有挑战性。一名老年男性,在因T1G3膀胱癌接受根治性膀胱切除术和回肠导管术(IC)12年后,出现造口狭窄,通过临时将导管置入导管进行处理。一年后,由于IC皮下部分扭转导致双重阻塞,他的导管无尿液排出。经计算机断层扫描确诊后,对患者进行了导管长度缩短和Turnbull造口术治疗。

相似文献

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Indian J Urol. 2025 Jul-Sep;41(3):225-227. doi: 10.4103/iju.iju_34_25. Epub 2025 Jul 1.
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本文引用的文献

1
Ileal conduit volvulus: rare complication of urinary diversion.回肠代膀胱扭转:尿流改道的罕见并发症。
BMJ Case Rep. 2019 Jan 28;12(1):bcr-2018-227924. doi: 10.1136/bcr-2018-227924.
2
Role of CT in postoperative evaluation of patients undergoing urinary diversion.CT 在尿流改道术患者术后评估中的作用。
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3
Incidence and risk factors of stomal complications in patients undergoing cystectomy with ileal conduit urinary diversion for bladder cancer.膀胱癌行膀胱切除并回肠代膀胱尿流改道术患者吻合口并发症的发生率及危险因素
J Urol. 2007 Sep;178(3 Pt 1):950-4. doi: 10.1016/j.juro.2007.05.028. Epub 2007 Jul 16.
4
Volvulus--a rare complication of ileal conduit.肠扭转——回肠膀胱术的一种罕见并发症。
Int J Clin Pract. 2005 Jul;59(7):858-60. doi: 10.1111/j.1368-5031.2005.00576.x.
5
Ileal loop conduit volvulus: a rare but reversible cause of bilateral ureteric obstruction.回肠袢导管扭转:双侧输尿管梗阻的一种罕见但可逆转的病因。
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