Tüdös Zbyněk, Čtvrtlík Filip, Kratochvíl Pavel, Král Milan
Department of Radiology, Faculty of Medicine and Dentistry, Palacký University and University Hospital, Olomouc, Czech Republic.
Department of Radiology, Faculty of Medicine and Dentistry, Palacký University and University Hospital, Olomouc, Czech Republic.
Urology. 2016 Aug;94:e7-8. doi: 10.1016/j.urology.2016.05.004. Epub 2016 May 12.
Migration of foreign bodies into the renal collecting system is very rare and usually concerns iatrogenically implanted objects. Migration of a foreign body from the gastrointestinal tract to the kidneys is even more rare. We present a case of migration of a wooden toothpick from the duodenum into the pelvis of the right kidney. The patient was not aware that he swallowed a toothpick; the foreign body resulted in hematuria and flank pain. The toothpick was missed during the initial computed tomography urography. Correct diagnosis was revealed by follow-up computed tomography. The toothpick was extracted endoscopically.
异物移入肾集合系统非常罕见,通常与医源性植入物有关。异物从胃肠道移至肾脏更为罕见。我们报告一例木质牙签从十二指肠移入右肾肾盂的病例。患者未意识到自己吞下了一根牙签;该异物导致血尿和侧腹痛。在最初的计算机断层扫描尿路造影中未发现该牙签。通过后续的计算机断层扫描才明确诊断。该牙签通过内镜取出。