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膀胱外翻修复术后输尿管支架的胸腔内移位：罕见并发症。

Intra thoracic migration of ureteric stent after exstrophy bladder closure: Unusual complication.

作者信息

Panda Shasanka Shekhar, Bajpai Minu, Singh Amit, Chand Karunesh

机构信息

Department of Paediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Afr J Paediatr Surg. 2015 Jan-Mar;12(1):98-9. doi: 10.4103/0189-6725.151006.

DOI:10.4103/0189-6725.151006
PMID:25659564
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4955482/
Abstract

Classic bladder exstrophy is a rare malformation of the genitourinary tract requiring surgical intervention either one-staged or staged fashion. Premature stent dislodgement is a well-known reported complication. We are reporting an unusual case of migration of ureteric stent to thoracic cavity leading to the pleural effusion and respiratory distress in early post-operative period.

摘要

经典膀胱外翻是一种罕见的泌尿生殖道畸形，需要一期或分期进行手术干预。输尿管支架过早移位是一种已报道的常见并发症。我们报告了一例罕见病例，输尿管支架移位至胸腔，导致术后早期出现胸腔积液和呼吸窘迫。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5b0/4955482/bec04d363f33/AJPS-12-98-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5b0/4955482/ba6348454fc7/AJPS-12-98-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5b0/4955482/bec04d363f33/AJPS-12-98-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5b0/4955482/ba6348454fc7/AJPS-12-98-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5b0/4955482/bec04d363f33/AJPS-12-98-g002.jpg

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本文引用的文献

1
Complications of primary closure of classic bladder exstrophy.经典型膀胱外翻一期缝合的并发症
J Urol. 2008 Oct;180(4 Suppl):1671-4; discussion 1674. doi: 10.1016/j.juro.2008.03.100. Epub 2008 Aug 20.
2
Complete repair of bladder exstrophy: preliminary experience with neonates and children with failed initial closure.膀胱外翻的完全修复：对初次闭合失败的新生儿和儿童的初步经验
J Urol. 2001 Jun;165(6 Pt 2):2428-30. doi: 10.1016/S0022-5347(05)66221-0.
3
Combined bladder neck, urethral and penile reconstruction in boys with the exstrophy-epispadias complex.
膀胱外翻-阴茎头型尿道上裂综合征患儿的膀胱颈、尿道及阴茎联合重建术
BJU Int. 2000 Sep;86(4):513-8. doi: 10.1046/j.1464-410x.2000.00866.x.
4
Complete primary repair of exstrophy.膀胱外翻的完全一期修复。
J Urol. 1999 Oct;162(4):1415-20.
5
Combined bladder closure and epispadias repair in the reconstruction of bladder exstrophy.膀胱外翻重建术中膀胱关闭与尿道上裂修复联合手术
J Urol. 1998 Sep;160(3 Pt 2):1182-5; discussion 1190. doi: 10.1097/00005392-199809020-00062.