Singh Prabhjot, Panaiyadiyan Sridhar, Nayak Brusabhanu
Department of Urology, All India Institute of Medical Sciences, New Delhi, India
Department of Urology, All India Institute of Medical Sciences, New Delhi, India.
BMJ Case Rep. 2017 Apr 11;2017:bcr-2016-219173. doi: 10.1136/bcr-2016-219173.
A 23-year-old man presented with chronic lower urinary tract symptoms and right flank pain. He had undergone ureterolithotomy a few years ago. Ultrasonography and CT of the abdomen and pelvis showed a right paravesical mass and proximal hydroureteronephrosis. Cystoscopic examination revealed a part of surgical gauze embedded in the right lateral wall of the bladder. The surgical gauze was completely retrieved with grasping forceps without any additional procedures. The patient experienced prompt relief of his symptoms and at follow-up, imaging studies revealed resolution of the pelvic mass and non-obstructed clearance of right-side collecting system. Pelvic gossypiboma with partial intravesical erosion is an unusual presentation and can be managed successfully by cystoscopic manipulation.
一名23岁男性出现慢性下尿路症状及右侧腰痛。他几年前接受过输尿管切开取石术。腹部和盆腔超声及CT显示膀胱旁右侧肿块及近端输尿管肾盂积水。膀胱镜检查发现膀胱右侧壁嵌有部分手术纱布。用活检钳将手术纱布完全取出，未进行任何额外操作。患者症状迅速缓解，随访时影像学检查显示盆腔肿块消失，右侧集合系统无梗阻性通畅。伴有部分膀胱内侵蚀的盆腔棉籽瘤是一种不寻常的表现，可通过膀胱镜操作成功处理。
