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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

Computed tomography-fistulography. Arrow shows contrast medium within the left hip joint (fistula tract) extending to the bladder lumen.
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Figure 4: Computed tomography-fistulography. Arrow shows contrast medium within the left hip joint (fistula tract) extending to the bladder lumen.

Mentions: A fistulography showed contrast extension to the bladder with excellent visualization of the fistula tract within the left hip joint (Fig. 4).


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)

Computed tomography-fistulography. Arrow shows contrast medium within the left hip joint (fistula tract) extending to the bladder lumen.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 4: Computed tomography-fistulography. Arrow shows contrast medium within the left hip joint (fistula tract) extending to the bladder lumen.
Mentions: A fistulography showed contrast extension to the bladder with excellent visualization of the fistula tract within the left hip joint (Fig. 4).

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