| Autor: |
Podoynicin AA; MONIKI, Moscow, Russian.; First Moscow State Medical University named after I.M. Sechenov, Moscow, Russian., Mamedov EA; MONIKI, Moscow, Russian.; First Moscow State Medical University named after I.M. Sechenov, Moscow, Russian., Amosov N; MONIKI, Moscow, Russian.; First Moscow State Medical University named after I.M. Sechenov, Moscow, Russian., Garmash SV; MONIKI, Moscow, Russian.; First Moscow State Medical University named after I.M. Sechenov, Moscow, Russian., Kuznecova DA; MONIKI, Moscow, Russian.; First Moscow State Medical University named after I.M. Sechenov, Moscow, Russian., Shpot EV; MONIKI, Moscow, Russian.; First Moscow State Medical University named after I.M. Sechenov, Moscow, Russian., Mashin GA; MONIKI, Moscow, Russian.; First Moscow State Medical University named after I.M. Sechenov, Moscow, Russian., Maltsagova PS; MONIKI, Moscow, Russian.; First Moscow State Medical University named after I.M. Sechenov, Moscow, Russian. |
| Abstrakt: |
This article describes a clinical case of bladder necrosis developed after X-ray endovascular embolization of prostatic arteries of a 62-year-old patient with a verified diagnosis of BPH (benign prostatic hyperplasia). The complication resulted in the necessity of urgent surgical intervention, namely, laparotomy, cystprostatectomy and bilateral percutaneous nephrostomy. In the early postoperative period the patient had intense cutting pain in the left side of the abdomen. Examination revealed the inflow of small intestinal contents through the pelvic drainage, which was the reason for relaparotomy, abdominal cavity revision, uturing the small intestine perforation, suturing the small intestine pre-perforation, sanation and drainage of the abdominal cavity in an emergency procedure. The patient was discharged in a satisfactory condition under the supervision of a urologist by m/w on the 36th day after endovascular embolization of prostatic arteries. The eight months after discharge, the patient underwent a successful Brickers operation on creating an alternative urinary diversion route at the First Sechenov Moscow State Medical University of the Russian Federation. |
