Vesico-Acetabular Fistula and Urolithiasis in the Hip Joint Cavity due to Persistent Bladder Entrapment after Acetabular Fracture
Tolkach Yuri, Gadjiev Nariman, Korol Valeriy, Gonchar Ivan,
소속 상세정보
( Tolkach Yuri )
Russia Saint-Petersburg Military Medical Academy Urology Clinic
( Gadjiev Nariman )
Russia Saint-Petersburg Military Medical Academy Urology Clinic
( Korol Valeriy )
Russia Saint-Petersburg Military Medical Academy Urology Clinic
( Gonchar Ivan )
Hokkaido University Graduate School of Medicine Department of Orthopaedic Surgery
KMID : 0358320110520030221
Abstract
We report a rare case of vesico-acetabular fistula due to an improperly treated pelvic fracture with urinary stone formation in the joint cavity. This complication was related to an unrecognized mechanism of bladder wall entrapment in the acetabular floor defect during weight bearing. This situation led to several mistreatment decisions in our case and should be always considered by urologists dealing with patients after major pelvic trauma. In this case report, we analyze the publications related to this problem, discuss the main mechanisms of bladder wall damage after acetabular fracture, and propose tips for diagnosis and treatment.
키워드
Malunited fractures; Multiple trauma; Urinary bladder diseases; Urinary bladder fistula; Urinary calculi
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