经尿道前列腺切除术后乙状囊瘘扩张合并脓毒症1例报告。

IF 1.9 3区医学 Q3 UROLOGY & NEPHROLOGY

BMC Urology Pub Date : 2025-08-11 DOI:10.1186/s12894-025-01894-5

Jinlin Xie, Yuguang Zhu, Weiming Liu, Jiarong Zeng, Siping Liu

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引用次数: 0

摘要

背景：乙状结肠瘘管（SVF）是一种罕见的结肠瘘管，主要发生于结直肠肿瘤、憩室炎或辐射损伤。然而，没有文献报道经尿道前列腺切除术（TURP）后乙状结肠膀胱瘘（SVF）扩张合并脓毒症。病例介绍：我们报告一位73岁男性良性前列腺增生患者，在TURP术后发展为SVF扩张和脓毒症。紧急横结肠造口术控制了感染，随后在二次手术中成功进行腹腔镜乙状结肠切除术。结论：本病例强调了在TURP手术过程中对隐匿性SVF风险保持警惕的必要性。对于瘘管相关脓毒症，应优先考虑采用横结肠造口术作为损害控制手术。

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Sigmoidovesical fistula expansion with sepsis following transurethral resection of prostate: a case report.

Background: Sigmoidovesical fistula (SVF), a rare form of colovesical fistula, predominantly arises from colorectal neoplasms, diverticulitis, or radiation injury. However, no previous literature documents Sigmoidovesical fistula (SVF) expansion with sepsis following transurethral resection of prostate (TURP).

Case presentation: We report a 73-year-old male with benign prostatic hyperplasia who developed SVF expansion and postoperative sepsis following TURP. Emergency transverse colostomy achieved infection control, followed by successful laparoscopic sigmoidectomy during secondary surgery.

Conclusion: This case highlights the need to remain vigilant for occult SVF risks during TURP procedures. Transverse colostomy should be prioritized as damage control surgery for fistula-related sepsis.

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来源期刊

BMC Urology UROLOGY & NEPHROLOGY-

CiteScore

3.20

自引率

0.00%

发文量

177

审稿时长

>12 weeks

期刊介绍： BMC Urology is an open access journal publishing original peer-reviewed research articles in all aspects of the prevention, diagnosis and management of urological disorders, as well as related molecular genetics, pathophysiology, and epidemiology. The journal considers manuscripts in the following broad subject-specific sections of urology: Endourology and technology Epidemiology and health outcomes Pediatric urology Pre-clinical and basic research Reconstructive urology Sexual function and fertility Urological imaging Urological oncology Voiding dysfunction Case reports.