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首页> 外文期刊>International Journal of Surgery Case Reports >First Irish and tenth case of small bowel obstruction secondary to suprapubic catheterisation in the world. Case report and case review of a rare complication of suprapubic catheterisation
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First Irish and tenth case of small bowel obstruction secondary to suprapubic catheterisation in the world. Case report and case review of a rare complication of suprapubic catheterisation

机译：世界上第一例爱尔兰和第十例继发于耻骨上导尿的小肠梗阻病例。耻骨上导管罕见并发症的病例报告和病例回顾

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Introduction Percutaneous Suprapubic urinary bladder catheterisation (SPC) is a common procedure performed in cases of urinary retention where attempt to pass urethral catheter has failed. However, the procedure requires meticulous precision, vigilance and sound knowledge of anatomy, to avoid grave complications. We are reporting a very rare complication of Suprapubic catheterisation that is small bowel obstruction. Our case is first Irish and 10th global case of small bowel obstruction secondary to SPC. Case presentation Aim of this study was to report this rare complication of the SPC in our patient who was 88 years old retired farmer presenting to emergency department with small bowel obstruction. In our case after clinical examination diagnosis was made with CT scan. Laparoscopy done and found that SPC passed through mesentery before entering bladder and was released laparoscopically.We also searched the literature to find similar reported cases to extract useful information from these cases and use this information to draw conclusions and make recommendations to avoid injuries in the future. Database search conducted in March 2017 on the bibliographic databases Ovid MEDLINE (1946 to November 2016) and EMBASE (1980 to November 2016) along with additional reference searching revealed only 9 reported cases of small bowel obstruction secondary to SPC. Conclusions From the extensive literature search we found that there are only nine cases reported so far globally, and our case is first Irish and tenth international case of bowel obstruction secondary to SPC. Significantly distended bladder, use of ultrasound and extra precaution in elderly patients can reduce the risk of damage to bowel.
机译：简介经尿道上皮膀胱插管术（SPC）是在尝试通过尿道导管失败的尿retention留情况下执行的常见程序。但是，该手术需要精心的精确度，警惕性和良好的解剖学知识，以避免严重的并发症。我们报道了耻骨上导管的一种非常罕见的并发症，即小肠梗阻。我们的案例是继SPC之后的第一例爱尔兰案例，也是全球第十例小肠梗阻案例。病例介绍本研究的目的是在我们的患者中报告SPC的这种罕见并发症，该患者是88岁的退休农民，就诊于急诊科，肠梗阻较小。在我们的情况下，临床检查后通过CT扫描诊断。腹腔镜检查完成后发现SPC在进入膀胱之前先经过肠系膜并被腹腔镜释放。我们还从文献中查找相似的报道病例，以从这些病例中提取有用的信息，并利用这些信息得出结论并提出建议，以避免将来再次受伤。 2017年3月在书目数据库Ovid MEDLINE（1946年至2016年11月）和EMBASE（1980年至2016年11月）上进行的数据库检索以及其他参考文献检索显示，仅9例继发于SPC的小肠梗阻病例报告。结论从广泛的文献检索中我们发现，迄今为止，全球仅报道了9例病例，我们的病例是继SPC之后的第一例爱尔兰病例和第十例国际肠梗阻病例。老年患者膀胱明显张开，使用超声波检查和采取额外的预防措施可降低肠道受损的风险。

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