医源性单侧输尿管尿瘤1例

JEM reports Pub Date : 2023-06-01 DOI:10.1016/j.jemrpt.2023.100037

Iran Alonso , Faith Quenzer , Alan Araiza , Micah Wittler

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引用次数: 0

摘要

背景:尿膜瘤是由骨盆骨盆系统梗阻、创伤或医源性内固定引起的包裹性尿液收集，可能发生在妇科手术中。病例报告:我们报告一例因医源性单侧输尿管损伤而导致的大占位性尿路瘤，患者为成年女性，在就诊前5周行子宫切除术。我们回顾诊断性影像学检查的处理、诊断性影像学检查和尿瘤的视觉特征。急诊医师为什么要意识到这一点?妇科手术后，如果有尿路梗阻的主诉，多次尝试放置Foley导尿管，但尿量很少或没有输出，急诊医生应考虑输尿管损伤。虽然，非对比CT扫描可用于诊断尿路瘤，但当怀疑尿路瘤等较大的阻塞物时，延迟静脉对比的CT扫描可提高整体图像质量和诊断。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Iatrogenic unilateral ureteral urinoma: A case report

Background

Urinomas are encapsulated urine collections that result from obstruction, trauma, or iatrogenic instrumentation to the pelvicalyceal system, which may occur during gynecologic surgery.

Case report

We present a case of a large space occupying urinoma resulting from iatrogenic, unilateral ureteral injury following a hysterectomy five weeks prior to presentation in an adult woman. We review management, diagnostic imaging tests, and visual characteristics of urinomas found diagnostic imaging.

Why should the emergency medicine physician be aware of this?

The emergency physician should consider ureteral injury after gynecological surgery, if there are complaints of urinary obstruction and multiple attempts of Foley catheter placement with little or no urinary output. Although, a non-contrasted CT scan can be used to diagnose the urinoma, a CT scan with delayed IV contrast may improve the overall image quality and diagnoses when suspecting a large obstructing mass such as a urinoma.

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