由于泛尿道狭窄而导致的儿科患者自发性腹腔内膀破裂
Zeeshan Zubair1, Ambuj Bhalla2, Kristina Gam3
1Department of Urology, University of Chicago, Chicago, IL, USA.
Urology case reports
|November 10, 2025
概括
在儿童中,自发性膀破裂 (SBR) 是罕见的. 这个案例详细介绍了一个9岁的男孩,尿道狭窄经历SBR,强调诊断挑战和手术管理.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 手术病例报告 手术病例报告
背景情况:
- 自发性膀破裂 (SBR) 在儿科患者中不常见.
- 它通常与新生儿的后部尿道有关.
研究的目的:
- 报告小儿病人的第一个已知的尿道狭窄后腹腔内膀破裂的病例.
- 突出儿童SBR的诊断挑战和管理策略.
主要方法:
- 一个9岁的男性患有SBR.X的 Balanitis Xerotica Obliterans和之前的生殖尿路手术的病例报告.
- 诊断工作包括临床评估和成像.
- 治疗包括腹腔切除术和上转移.
主要成果:
- 患者出现腹部疼痛,恶心和尿液保留.
- 腹腔内膀破裂得到证实.
- 进行了带有上阴部转移的手术干预.
结论:
- 这一案例强调了在患有阻塞性尿路病的儿童中对SBR的高临床怀疑的重要性.
- 标准CT扫描在诊断膀破裂时存在的局限性.
- 专门的囊泡造影和及时的手术干预对于最佳结果至关重要.
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