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[膀胱异物病例——膀胱内发现一枚手术缝合针]

[A case of a foreign body in the urinary bladder--a surgical suture needle was found in urinary bladder].

作者信息

Irisawa C, Yamaguchi O, Shiraiwa Y, Kikuchi Y, Irisawa S, Irisawa C

机构信息

Department of Urology, Fukushima Medical College.

出版信息

Hinyokika Kiyo. 1991 Nov;37(11):1547-9.

PMID:1767779
Abstract

We report a case of an unusual foreign body in the urinary bladder. A 66-year-old male had undergone an operation of rectal cancer 6 years previously. He visited our hospital with irritative urinary symptoms. Urinalysis showed hematopyuria, and X-ray examination revealed a curved fine shadow (about 2 cm in length and 3 mm in width) at the vesical region. In cystoscopic examination, a calcified surgical suture needle was identified on the trigonal region. The needle was removed transurethrally by a stone crushing forceps. Thus, it was assumed that the needle had been left in the abdominal cavity at the operation 6 years ago and it had migrated into the bladder during these 6 years. Many cases of foreign bodies in the urinary bladder have been reported. However, to our knowledge, this is the first report of a surgical suture needle, in the bladder.

摘要

我们报告一例膀胱内出现异常异物的病例。一名66岁男性6年前接受了直肠癌手术。他因刺激性尿路症状前来我院就诊。尿液分析显示血尿,X线检查发现在膀胱区域有一条弯曲的细影(长约2厘米,宽3毫米)。在膀胱镜检查中,在三角区发现了一枚钙化的手术缝合针。用碎石钳经尿道取出了这枚针。因此,推测这枚针6年前手术时遗留在腹腔内,在这6年中迁移到了膀胱。膀胱内异物的病例已有很多报道。然而,据我们所知,这是膀胱内出现手术缝合针的首例报道。

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