• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Cases Journal >Extraperitoneal bladder rupture with severe lacerations of the urogenital diaphragm: a case report
【24h】

Extraperitoneal bladder rupture with severe lacerations of the urogenital diaphragm: a case report

机译：腹膜外膀胱破裂伴泌尿生殖器ogen裂严重：一例报告

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background A 65-year woman injured by automobile had an open-book type pelvic fracture and extraperitoneal bladder rupture. Case presentation Non-surgical management was selected because of suspected minor leakage. A follow-up CT cystography on day 21 showed a large urinoma. In the sagittal reconstruction CT images, the bladder was displaced downwards. Surgery was performed. Surgical findings showed that the bladder neck and the urethra were not anchored because of a laceration in the urogenital diaphragm. The bladder base had descended to the inferior margin of the pubic bone and a laceration of about 3 cm was found in the anterior surface of the bladder neck. The laceration was sutured, and the wall of the urinoma was extensively resected. The postoperative course was uneventful. Conclusion An extraperitoneal bladder rupture associated with a severe laceration in the urogenital diaphragm will be indicated for surgery when the bladder is not anchored and healing is prevented. Sagittal reconstruction CT cystography was effective for this diagnosis.
机译：背景一名65岁的汽车受伤妇女患有开放书型骨盆骨折和腹膜外膀胱破裂。病例介绍由于怀疑有少量渗漏，因此选择了非手术治疗。第21天的后续CT膀胱造影显示尿路上皮瘤较大。在矢状面重建CT图像中，膀胱向下移位。进行了手术。手术结果显示，由于泌尿生殖器diaphragm裂，膀胱颈和尿道未固定。膀胱底部下降至耻骨下缘，在膀胱颈前表面发现约3 cm的裂伤。缝合撕裂伤，并广泛切除尿道瘤壁。术后过程很顺利。结论如果不固定膀胱并防止愈合，则建议进行腹膜外膀胱破裂并伴有泌尿生殖器隔膜严重撕裂。矢状面重建CT膀胱造影对该诊断有效。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号