tailieunhanh - Báo cáo y học: "Spontaneous ventral urethral fistula in a young diabetic man: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Spontaneous ventral urethral fistula in a young diabetic man: a case report. | Journal of Medical Case Reports BioMed Central Case report Open Access Spontaneous ventral urethral fistula in a young diabetic man a case report Stefan Denzinger Wolf F Wieland Maximilian Burger and Wolfgang Otto Address Department of Urology University of Regensburg St. Josefs Hospital Landshuterstr. 65 93053 Regensburg Germany Email Stefan Denzinger - stefandenzinger@ Wolf F Wieland - wieland@ Maximilian Burger - maximilianburger@ Wolfgang Otto - Corresponding author Published 5 September 2007 Received 28 December 2006 Journal of Medical Case Reports 2007 1 80 doi 1752-1947-1-80 Accepted 5 September 2007 This article is available from http content 1 1 80 2007 Denzinger et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract We present the first case reported in the medical literature of a patient with a spontaneous ventral urethral fistula accompanied by severe infection due to diabetes mellitus. A 34-year-old man with poor controlled adult-onset diabetes mellitus was admitted to our hospital with a large subcutaneous abscess involving the complete penis scrotum and perineum. The patient did not report any history of any penile trauma or local infection but has experienced transient swelling of the perineal region following urination. Initial surgical treatment consisted of surgical debridement of necrotic tissue. At this time reconstructive surgery was impossible and a suprapubic cystostomy was performed. After 4 months of suprapubic urinary diversion the urethral fistula resolved and function of external genitalia was reestablished. In a follow-up period of 40 months no recurrence occurred. Spontaneous .