关键词: SUB device clinical bacteriuria omentalisation ureteral obstruction ureterolithiasis

来  源:   DOI:10.1177/20551169241257884   PDF(Pubmed)

Abstract:
UNASSIGNED: A 9-year-old, spayed, female domestic shorthair cat presented with an open wound approximately 1 cm in size with exposure of the left subcutaneous ureteral bypass (SUB) shunting port that was placed approximately 11 months before presentation. Primary closures were attempted twice before local wound management with omentalisation and repositioning of the port. The exposed port was lavaged topically with a polyhexanide and propylbetaine wound irrigation solution before omentalisation and repositioning, resulting in successful retention of the implant. Five months after revision and omentalisation, there was complete coverage and healing of the wound.
UNASSIGNED: Adequate topical treatment, repositioning and omentalisation could be a successful treatment option for the uncommon complication of SUB shunting port extrusion secondary to resistant local infection originating from the urinary tract.
摘要:
一个9岁的孩子,斯派德,雌性家养短腿猫出现约1厘米大小的开放性伤口,暴露于左侧皮下输尿管旁路术(SUB)分流端口,该端口在出现前约11个月放置。在进行局部伤口处理并重新定位端口之前,尝试了两次初次闭合。在凹陷和重新定位之前,用聚己内酯和丙基甜菜碱伤口冲洗溶液局部冲洗暴露的端口,导致植入物的成功保留。在修订和省略五个月后,伤口完全覆盖和愈合。
适当的局部治疗,对于SUB分流口挤压继发于泌尿道耐药局部感染的罕见并发症,重新定位和穿孔可能是一种成功的治疗选择。
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