膀 катетеризация后的额外外皮质腺血瘤的内血管管理
Arnaud Bourguignon1, Lea Tannouri2, Ilias Bennouna1
1Radiology, Hôpital Universitaire de Bruxelles, Brussels, BEL.
Cureus
|June 21, 2023
概括
福利导管治疗很少导致膀破裂,导致严重出血和血液瘤. 这一案例证明了肝硬化症的脆弱患者的致命结局,突出了常见手术的风险.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 胃肠病学 胃肠病学
- 干预性放射学 干预性放射学
背景情况:
- 福利导管治疗后的膀破裂是一种不常见的并发症.
- 它主要在患有先前存在的慢性膀疾病的患者中观察到.
- 这个病例涉及一个患有非补偿性酒精性肝硬化,营养不良和糖尿病的患者.
研究的目的:
- 报告一个罕见的膀穿孔病例和福利导管插入后的大型血瘤.
- 描述动脉出血的干预性放射管理.
- 为了强调在接受常规手术的脆弱患者中可能出现的严重并发症.
主要方法:
- 一名38岁的女性患者接受了福利导管治疗.
- 膀穿孔和动脉出血的诊断通过计算机断层扫描 (CT) 扫描得到证实.
- 使用微粒和线圈进行动脉栓塞以控制出血.
主要成果:
- 成功的栓塞可以完全控制右膀动脉的活跃动脉出血.
- 膀穿孔被保守地管理,用尿导管排水,灌和抗生素.
- 尽管进行了干预,但患者在手术后15天死于肝衰竭和败血症.
结论:
- 福利导管可以导致严重的并发症,包括膀破裂和危及生命的出血.
- 干预性放射学,特别是栓塞,是有效的管理福利导管相关的动脉出血.
- 患有多种并发症的脆弱患者在看似简单的手术中存在显著更高的不良结果风险.
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