Adorisio Ottavio, Bassani Francesca, Silveri Massimiliano
Department of Pediatric Surgery, Bambino Gesù Children's Hospital, Palidoro, Italy.
BMJ Case Rep. 2013 Jan 22;2013:bcr2012008137. doi: 10.1136/bcr-2012-008137.
Cobb's collar is a membranous stricture of the bulbar urethra, often misdiagnosed, potentially leading to acute urinary retention, upper urinary tract dilations, enuresis, infectious diseases, poor streaming and haematuria. A 14-year-old boy with a history of previous hospitalisations came to our attention. A Cobb's collar was diagnosed and successfully managed with a videoendoscopic one-step approach. Although extremely uncommon, paediatric urologists must be aware of this congenital anomaly. A correct and timely diagnosis and endoscopic management may affect positively the clinical onset of these patients avoiding major urethral surgery and preserving renal and bladder function.
科布氏环是球部尿道的膜性狭窄，常被误诊，可能导致急性尿潴留、上尿路扩张、遗尿、感染性疾病、尿流不畅和血尿。一名有既往住院史的14岁男孩引起了我们的注意。诊断为科布氏环，并通过视频内镜一步法成功治疗。尽管极为罕见，但小儿泌尿外科医生必须了解这种先天性异常。正确及时的诊断和内镜治疗可能会对这些患者的临床发病产生积极影响，避免进行大型尿道手术，并保留肾脏和膀胱功能。
