Clinical case: bladder necrosis after prostate embolization in a patient with prostatic hyperplasia
- Authors: Podoynicin A.A.1, Mamedov E.A.1, Amosov N.А.1, Garmash S.V.1, Kuznecova D.A.1, Shpot E.V.2, Mashin G.A.2, Maltsagova P.S.2
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Affiliations:
- MONIKI
- First Moscow State Medical University named after I.M. Sechenov
- Issue: No 1 (2023)
- Pages: 88-91
- Section: Clinical case
- URL: https://journals.eco-vector.com/1728-2985/article/view/329735
- DOI: https://doi.org/10.18565/urology.2023.1.88-91
- ID: 329735
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Abstract
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 Bricker’s operation on creating an alternative urinary diversion route at the First Sechenov Moscow State Medical University of the Russian Federation.
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About the authors
A. A. Podoynicin
MONIKI
Author for correspondence.
Email: a4955145801@gmail.com
д.м.н., руководитель отделения урологии
Russian Federation, MoscowE. A. Mamedov
MONIKI
Email: elvin_mammadli@mail.ru
к.м.н., заведующий отделением урологии
Russian Federation, MoscowN. А. Amosov
MONIKI
Email: Nikita_amosov@mail.ru
к.м.н., старший научный сотрудник отделения урологии
Russian Federation, MoscowS. V. Garmash
MONIKI
Email: 89262343904@mail.ru
к.м.н., заведующий отделением онкоурологии
Russian Federation, MoscowD. A. Kuznecova
MONIKI
Email: dasha_kuzn96@mail.ru
аспирант кафедры урологии
Russian Federation, MoscowE. V. Shpot
First Moscow State Medical University named after I.M. Sechenov
Email: dasha_kuzn96@mail.ru
д.м.н., профессор, заведующий онкоурологическим отделением Института урологии и репродуктивного здоровья человека
Russian Federation, MoscowG. A. Mashin
First Moscow State Medical University named after I.M. Sechenov
Email: dasha_kuzn96@mail.ru
к.м.н., врач онкоурологического отделения Института урологии и репродуктивного здоровья человека
Russian Federation, MoscowP. Sh. Maltsagova
First Moscow State Medical University named after I.M. Sechenov
Email: dasha_kuzn96@mail.ru
студентка 6 курса лечебного факультета
Russian Federation, MoscowReferences
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