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耻骨上导尿管位置不当导致的肾盂积水和输尿管积水

Hydroureteronephrosis due to a misplaced suprapubic catheter.

作者信息

Kushwaha Pranabh, Kumar Abhinav, Choudhary Narendra, Priyadarshini Pratyusha

机构信息

Department of General Surgery, All India Institute of Medical Sciences (AIIMS), Raebareli, Uttar Pradesh, India.

Division of Trauma Surgery and Critical Care, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences (AIIMS), New Delhi, India.

出版信息

Urol Case Rep. 2025 Aug 19;62:103173. doi: 10.1016/j.eucr.2025.103173. eCollection 2025 Sep.

Abstract

Unintentional ureteral catheterisation, especially during the placement of suprapubic catheters, is extremely rare. We present a case of a suprapubic catheter misplaced in the left ureter leading to hydroureteronephrosis in a paediatric patient with history of complex pelvic fracture with urethral distraction defects after a motor vehicle accident. We highlight that emergent imaging evaluation and timely intervention saved us from the potential catastrophe.

摘要

意外输尿管插管,尤其是在耻骨上膀胱造瘘管置入过程中,极为罕见。我们报告一例耻骨上膀胱造瘘管误置于左侧输尿管导致小儿肾输尿管积水的病例,该患儿有复杂骨盆骨折病史,在机动车事故后伴有尿道牵张缺损。我们强调,紧急影像学评估和及时干预避免了潜在的灾难。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94cb/12398218/5668feb02b39/gr1.jpg

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