肠膀胱扩大术中的巨大结石

Giant stone in enterocystoplasty.

作者信息

Gacci M, Cai T, Travaglini F, Rizzo M, Bartoletti R, Carini M

机构信息

Department of Urology, University of Florence, Italy.

出版信息

Urol Int. 2005;75(2):181-3. doi: 10.1159/000087175.

DOI:10.1159/000087175

PMID:16123575

Abstract

A giant stone in enterocystoplasty is a very rare condition; only 5 cases have been reported in the literature. A 50-year-old female with an enterocystoplasty due to congenital myelomeningocele presented at our institution for an asymptomatic 10-cm bladder stone, incidentally detected during an imaging procedure for uterine fibroma. The patient was treated with a laparoscopic hysterectomy with bilateral annexectomy, neocystotomy and stone removal under general anesthesia. The case report and an accurate literature review are reported. The incidence, risk factors, pathophysiology and treatment options are analyzed.

摘要

肠膀胱扩大术中出现巨大结石是一种非常罕见的情况；文献中仅报道过5例。一名50岁女性因先天性脊髓脊膜膨出接受了肠膀胱扩大术，因子宫肌瘤成像检查时偶然发现了一枚10厘米无症状膀胱结石，前来我院就诊。患者在全身麻醉下接受了腹腔镜子宫切除术加双侧附件切除术、新膀胱切开术和结石取出术。本文报告了该病例并进行了准确的文献综述。分析了发病率、危险因素、病理生理学和治疗选择。