Chu C C, Diau G Y
Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China.
J Urol. 1994 Nov;152(5 Pt 1):1572-3. doi: 10.1016/s0022-5347(17)32477-1.
A 3-year-old girl presented with a prolapsed cutaneous vesicostomy, and symptoms and signs of acute intestinal obstruction. The vesicostomy had been performed when she was 19 months old for bilateral vesicoureteral reflux. Postoperatively, prolapse of the bladder from the stoma occurred almost daily. The prolapsed part retracted naturally when the patient was relaxed and reclining. Intestinal obstruction was due to strangulated herniation of the bowel into the prolapsed bladder via the stoma of vesicostomy. Treatment consisted of manual reduction and the stoma of the vesicostomy was revised with the patient under general anesthesia.
一名3岁女孩出现皮肤造口膀胱脱垂以及急性肠梗阻的症状和体征。该女孩19个月大时因双侧膀胱输尿管反流接受了膀胱造口术。术后，几乎每天都有膀胱从造口处脱垂。患者放松并平卧时，脱垂部分会自然回缩。肠梗阻是由于肠管通过膀胱造口处疝入脱垂的膀胱并发生绞窄所致。治疗方法包括手法复位，并在全身麻醉下对患者的膀胱造口进行了修复。
