Janssen T, van Cangh P J
Service d'Urologie, Cliniques Universitaires Saint Luc, Université Catholique de Louvain, Bruxelles, Belgique.
Prog Urol. 1994 Jun;4(3):429-32.
The authors report two cases of retroperitoneal fibrosis secondary to rectal perforation occurring during barium enema. In view of the variable interval between the radiological accident and the urological complications, a long patient follow-up is recommended. If ureteric obstruction occurs, ureteric catheterisation is a temporary alternative, but surgery is the treatment of choice. When ureterolysis cannot be performed, the authors propose ureteroileoplasty to restore continuity of the urinary tract.
作者报告了两例钡剂灌肠期间发生直肠穿孔继发腹膜后纤维化的病例。鉴于放射学事故与泌尿系统并发症之间的时间间隔不一，建议对患者进行长期随访。如果发生输尿管梗阻，输尿管插管是一种临时替代方法，但手术是首选治疗方式。当无法进行输尿管松解术时，作者建议行输尿管回肠吻合术以恢复尿路的连续性。
