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移位还是迁移?输尿管J型支架心脏迁移的极其罕见病例。

Misplacement or migration? Extremely rare case of cardiac migration of a ureteral j stent.

作者信息

Kim Tae Nam, Lee Chan Ho, Kong Do Hoon, Shin Dong Kil, Lee Jeong Zoo

机构信息

Department of Urology, Pusan National University Hospital, Busan, Korea.

出版信息

Korean J Urol. 2014 May;55(5):360-2. doi: 10.4111/kju.2014.55.5.360. Epub 2014 May 12.

Abstract

A 29-year-old woman with mild back pain when coughing and suprapubic discomfort after voiding was admitted to Pusan National University Hospital. Two weeks earlier, she had undergone a hysterectomy and right-sided ureteroneocystostomy for uterine atony and right ureteral injury with bladder rupture. Computed tomography showed that a ureteral J stent extended from the right ovarian vein to the right cardiac chamber. The stent was retrieved via both femoral veins with a snare loop and pigtail catheter. Computed tomography showed that the urinary and vascular tracts were normal 5 months after the procedure.

摘要

一名29岁女性,咳嗽时伴有轻度背痛,排尿后耻骨上不适,入住釜山国立大学医院。两周前,她因子宫收缩乏力、右侧输尿管损伤伴膀胱破裂接受了子宫切除术和右侧输尿管膀胱吻合术。计算机断层扫描显示,一个输尿管J形支架从右卵巢静脉延伸至右心腔。通过圈套环和猪尾导管经双侧股静脉取出支架。术后5个月的计算机断层扫描显示,尿路和血管系统正常。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ab5/4026664/c08104e3879f/kju-55-360-g001.jpg

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