术中使用便携式锥形束计算机断层扫描系统诊断腹膜内膀胱穿孔。

Case Reports in Urology Pub Date : 2021-09-23 eCollection Date: 2021-01-01 DOI:10.1155/2021/2060572
Ankur Choksi, Benjamin Press, Cayce Nawaf, Shannon Longyear, Marc Ferrante, Thomas V Martin
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引用次数: 0

摘要

背景:泌尿道手术的术中成像通常局限于单平面x线透视。O-arm™是一种可移动锥形bean CT扫描仪,可用于泌尿外科手术。案例演示。我们报告一例85岁男性放射性膀胱炎和复发性肉眼血尿,在紧急血块清除时膀胱镜检查发现膀胱穿孔。单透视检查对于是否发生腹膜内膀胱穿孔尚无定论。使用便携式锥形束CT扫描获得三维CT膀胱图,显示腹膜内造影剂外渗,确认腹膜内膀胱穿孔的诊断。结论:我们报告了首次使用便携式锥形束CT扫描仪进行术中CT膀胱造影来诊断腹膜内膀胱穿孔并指导手术处理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The Intraoperative Use of a Portable Cone-Beam Computed Tomography System for the Diagnosis of Intraperitoneal Bladder Perforation.

The Intraoperative Use of a Portable Cone-Beam Computed Tomography System for the Diagnosis of Intraperitoneal Bladder Perforation.

The Intraoperative Use of a Portable Cone-Beam Computed Tomography System for the Diagnosis of Intraperitoneal Bladder Perforation.

Background: Intraoperative imaging for endourologic procedures is generally limited to single-plane fluoroscopic X-ray. The O-arm™ is a mobile cone-bean CT scanner that may have applications in urologic surgeries. Case Presentation. We present a case of an 85-year-old male with radiation cystitis and recurrent gross hematuria who was identified to have a bladder perforation on cystoscopy during emergent clot evacuation. Single-view fluoroscopic evaluation was inconclusive as to whether an intraperitoneal bladder perforation occurred. A portable cone-beam CT scan was used to acquire a 3-D CT cystogram, which demonstrated intraperitoneal contrast extravasation, confirming the diagnosis of an intraperitoneal bladder perforation.

Conclusion: We report the first use of a portable cone-beam CT scanner to perform an intraoperative CT cystogram to diagnose an intraperitoneal bladder perforation and guide surgical management.

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