Small Bowel Obstruction Associated With Ureterocutaneous Fistula After a Radical Cystectomy: A Case Report.

根治性膀胱切除术后与输尿管皮肤瘘相关的小肠梗阻 ： 一例病例报告。

• 发表时间: 2024 Jan
• 来源期刊: Cureus
• DOI: 10.7759/cureus.52638
• PMID: 38957333
• 文章类型: Case Reports
• 作者列表: Arakaki S,Nakamura Y,Morioka H,Karimata H,Takatsuki M

关键词: beak sign; internal hernia; retroperitonealization; small-bowel obstruction; ureteral cutaneous fistula

Abstract

This is a case report of a man in his 60s who was diagnosed with a small bowel obstruction due to an internal hernia caused by a ureterocutaneous fistula. Internal hernia caused by the ureter following urinary diversion is rare, posing challenges in preoperative diagnosis and carrying the risk of intraoperative injury due to the resemblance of a ureterocutaneous fistula to an adhesive band. The presentation and surgical management are discussed in this case report.

摘要

这是一例60多岁的男子的病例报告，该男子因输尿管皮瘘引起的内部疝而被诊断为小肠梗阻。尿流改道后由输尿管引起的内疝很少见，由于输尿管皮瘘与粘连带相似，在术前诊断和术中损伤的风险中构成挑战。在此病例报告中讨论了介绍和手术管理。