Limits...
Vesico-Acetabular Fistula and Urolithiasis in the Hip Joint Cavity due to Persistent Bladder Entrapment after Acetabular Fracture.

Tolkach Y, Gadjiev N, Korol V, Gonchar I - Korean J Urol (2011)

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Urology Clinic, Military Medical Academy, Saint-Petersburg, Russia.

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.

No MeSH data available.


Related in: MedlinePlus

Panoram X-Ray of pelvis (A) and miction cystourethrography (B). Arrow points to extravasation of the contrast medium.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
getmorefigures.php?uid=PMC3065137&req=5

Figure 2: Panoram X-Ray of pelvis (A) and miction cystourethrography (B). Arrow points to extravasation of the contrast medium.

Mentions: Neither sonography nor urethrocystoscopy yielded any abnormal findings. The cystography combined with the fistulography showed contrast extravasation through the left bladder wall but could not elucidate any relevant information about the fistula tract's course or its relation to the pelvic bones and the hip joint (Fig. 2). To obtain this information, we performed multispiral computed tomography (CT) combined with CT-fistulography.


Vesico-Acetabular Fistula and Urolithiasis in the Hip Joint Cavity due to Persistent Bladder Entrapment after Acetabular Fracture.

Tolkach Y, Gadjiev N, Korol V, Gonchar I - Korean J Urol (2011)

Panoram X-Ray of pelvis (A) and miction cystourethrography (B). Arrow points to extravasation of the contrast medium.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC3065137&req=5

Figure 2: Panoram X-Ray of pelvis (A) and miction cystourethrography (B). Arrow points to extravasation of the contrast medium.
Mentions: Neither sonography nor urethrocystoscopy yielded any abnormal findings. The cystography combined with the fistulography showed contrast extravasation through the left bladder wall but could not elucidate any relevant information about the fistula tract's course or its relation to the pelvic bones and the hip joint (Fig. 2). To obtain this information, we performed multispiral computed tomography (CT) combined with CT-fistulography.

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Urology Clinic, Military Medical Academy, Saint-Petersburg, Russia.

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.

No MeSH data available.


Related in: MedlinePlus