Gutierrez Andrés, Chavarriaga Julián, Ocampo María A, Hernandez Carlos
Los Comuneros Hospital Universitario de Bucaramanga, Cra. 27 #30-15, Bucaramanga, Santander, Colombia.
Clinica DESA, Calle 5 #38a 35, Cali, Colombia.
Urol Case Rep. 2017 Sep 8;15:17-19. doi: 10.1016/j.eucr.2017.06.010. eCollection 2017 Nov.
Urolithiasis can result as a complication of urinary diversión, favored by urinary stasis, intestinal mucus, urinary tract bacteriuria, the metabolic derangements and the presence of foreign bodies. We present a 52- year-old male who underwent radical cystectomy with construction of a Bricker uretero-ileostomy. 5 years later he was found with a forgotten ureteral stent, a 6 cm calculi occupying the whole ileal conduit and a 13 mm calculi in the left renal pelvis. We present our experience in the successful endourological management of an encrusted neglected ureteral stent in an ileal conduit, achieving a stone-free status without complications.
尿石症可能是尿流改道的并发症，其诱因包括尿潴留、肠黏液、尿路感染、代谢紊乱以及异物的存在。我们报告一例52岁男性患者，该患者接受了根治性膀胱切除术并构建了Bricker输尿管回肠造口术。5年后，发现其体内有一个被遗忘的输尿管支架、一枚6厘米的结石占据了整个回肠通道以及左肾盂内有一枚13毫米的结石。我们介绍了成功通过腔内泌尿外科技术处理回肠通道内一枚被忽视的、有结石包裹的输尿管支架的经验，实现了无结石状态且无并发症。
