Mani Vishnu R, Kalabin Aleksandr, Mishra Ankita, Davis-Joseph Brian
Department of Surgery, New York University School of Medicine, New York, NY, USA.
Department of Surgery, Columbia University College of Physicians and Surgeons at Harlem Hospital Center, New York, NY, USA.
Curr Urol. 2018 Mar;11(3):163-165. doi: 10.1159/000447212. Epub 2018 Feb 20.
We present an incidental finding and management of a urethral diverticulum containing mixed composition of struvite and ammonium urate stones. Status post sleeve gastrectomy, patient presented to our bariatric clinic with epigastric pain associated with nausea and vomiting. A computed tomography scan was performed to rule out any complications of the procedure in which urethral stones were reported contained within a diverticulum. This finding, in retrospect, correlated with patient's past history of recurrent urinary tract infections. Over all, urethral diverticulum with struvite stones is a rare entity with few reported cases in literature thus a high index of suspicion is needed in patients with related symptoms. Here a case presentation and treatment rationale are described along with a brief review of existing literature.
我们报告了一例偶然发现的尿道憩室，其中含有鸟粪石和尿酸铵结石的混合成分。患者在接受袖状胃切除术后，因上腹部疼痛伴恶心呕吐就诊于我们的减重门诊。进行了计算机断层扫描以排除该手术的任何并发症，扫描报告显示尿道结石存在于一个憩室内。回顾这一发现，与患者过去反复发生尿路感染的病史相关。总体而言，伴有鸟粪石结石的尿道憩室是一种罕见的病症，文献报道的病例很少，因此对于有相关症状的患者需要高度怀疑。本文描述了一例病例介绍及治疗原理，并对现有文献进行了简要综述。
