放射治疗相关的膀囊:反复出现的腹部症状的隐藏原因
Xiaofeng Ren1, Jialin Wu2, Shaobin Yang1
1Department of Gastroenterology, Henan University of Science and Technology Affiliated Yellow River Hospital, Sanmenxia, Henan, China.
The American journal of case reports
|September 10, 2025
概括
非创伤性膀破裂虽然很少发生,但会给诊断带来挑战. 这一案例凸显了在患有无法解释的瘤的患者中考虑膀囊的重要性,特别是在盆腔放射治疗后.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
背景情况:
- 非创伤性膀破裂很少见,但危及生命,原因包括恶性瘤和辐射囊炎.
- 盆腔放射治疗很少会导致膀囊,出现腹痛和尿等症状.
- 诊断放射治疗相关的膀囊是具有挑战性的,因为不典型的症状和错误诊断的可能性.
研究的目的:
- 在盆腔放射治疗后报告延迟膀囊的病例.
- 强调诊断的挑战和考虑膀囊在不明原因的瘤中的重要性.
主要方法:
- 一个60岁妇女的病例报告,她有宫癌史,接受了放射治疗.
- 阿西特分析显示了肌素和尿素的升高.
- 通过盐酸-甲基蓝灌注确认间歇性膀裂.
主要成果:
- 患者出现了反复出现的腹痛和,最初诊断错误.
- 瘤分析强烈表明尿路瘤.
- 一个膀囊被确诊并确认了.
结论:
- 膀囊的诊断可能具有挑战性,并且很容易被忽视,即使是CT扫描.
- 早期识别和管理囊泡是预防严重并发症的关键.
- 这一案例强调了需要将膀囊纳入无法解释的瘤的差异诊断中,特别是在有骨盆放射治疗史的患者中.
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