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回肠造口处巨大结石

Giant Stone in Ileal Conduit.

机构信息

Department of Urology, Hospital da Bahia, Salvador, Brazil,

Department of Urology, Hospital da Bahia, Salvador, Brazil.

出版信息

Urol Int. 2020;104(1-2):163-166. doi: 10.1159/000499091. Epub 2019 Mar 19.

DOI:10.1159/000499091
PMID:30889608
Abstract

Urolithiasis is a common complication in Bricker urinary -diversions. The upper urinary tract and ureters are predominantly involved, and ileal conduit stones are rare. Treatment consists of minimally invasive techniques, and open surgery is considered only when other safe and rapid treatment options are unavailable. We report a case of a 48-year-old patient with a large stone inside of Bricker, measuring 14 cm and weighing 1.03 kg. We discuss the likely etiologies and surgical approaches.

摘要

尿石症是 Bricker 尿流改道术的常见并发症。主要累及上尿路和输尿管,回肠导管结石罕见。治疗包括微创技术,只有在其他安全、快速的治疗方法不可用时才考虑开放手术。我们报告了一例 48 岁患者,其 Bricker 内有一枚 14 厘米、重 1.03 公斤的大结石。我们讨论了可能的病因和手术方法。

相似文献

1
Giant Stone in Ileal Conduit.回肠造口处巨大结石
Urol Int. 2020;104(1-2):163-166. doi: 10.1159/000499091. Epub 2019 Mar 19.
2
Urolithiasis after ileal conduit urinary diversion: a comparison of minimally invasive therapies.回肠代膀胱术后的尿石症:微创治疗的比较。
J Urol. 2013 Jun;189(6):2152-7. doi: 10.1016/j.juro.2012.12.003. Epub 2012 Dec 7.
3
Management of urolithiasis in patients after urinary diversions.尿流改道术患者的尿路结石处理。
BJU Int. 2011 Aug;108(3):330-6. doi: 10.1111/j.1464-410X.2011.10194.x. Epub 2011 May 25.
4
[A Study of Retrograde Ureteroscopic Lithotripsy with Ureteral Access Sheath for Urinary Calculus After Ileal Conduit Construction].[回输性输尿管镜联合输尿管鞘治疗回肠膀胱术后尿路结石的研究]
Hinyokika Kiyo. 2023 Sep;69(9):239-242. doi: 10.14989/ActaUrolJap_69_9_239.
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Endourologic strategies for a minimally invasive management of urinary tract stones in patients with urinary diversion.内镜下策略在尿路改道术患者微创处理尿路结石中的应用。
Int Braz J Urol. 2018 Jan-Feb;44(1):75-80. doi: 10.1590/S1677-5538.IBJU.2017.0431.
6
Risk factors of calculi in upper urinary tract after radical cystectomy with urinary diversion.根治性膀胱切除术后尿流改道患者上尿路结石的危险因素
Actas Urol Esp (Engl Ed). 2019 Dec;43(10):568-572. doi: 10.1016/j.acuro.2019.04.002. Epub 2019 Jul 27.
7
Incidence of urolithiasis in cystectomy patients after intestinal conduit or continent urinary diversion.肠代膀胱术或可控性尿流改道术后膀胱切除术患者的尿石症发病率。
World J Urol. 1999 Oct;17(5):305-7. doi: 10.1007/s003450050151.
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Stones in urinary diversions: update on medical and surgical issues.尿流改道中的结石:医学与外科问题的最新进展
Curr Opin Urol. 2002 Jul;12(4):297-303. doi: 10.1097/00042307-200207000-00007.
9
[Multiple endoscopy for the treatment of upper urinary tract calculi following ileal conduit: a case report and literature review].[回肠代膀胱术后上尿路结石的多次内镜治疗:1例报告及文献复习]
Beijing Da Xue Xue Bao Yi Xue Ban. 2017 Aug 18;49(4):733-735.
10
Surgical management of urolithiasis in patients after urinary diversion.尿流改道术后患者尿路结石的外科治疗
PLoS One. 2014 Oct 31;9(10):e111371. doi: 10.1371/journal.pone.0111371. eCollection 2014.

引用本文的文献

1
Tomographic aspect of a giant stone in a bricker urinary diversion.回肠膀胱术中巨大结石的断层扫描影像
Int Braz J Urol. 2024 Nov-Dec;50(6):776-778. doi: 10.1590/S1677-5538.IBJU.2024.9919.
2
Ileal conduit obstruction secondary to tethering of the small bowel anastomosis to the pubic bone.回肠造口梗阻继发于小肠吻合口与耻骨的固定。
BMJ Case Rep. 2024 Jan 5;17(1):e258418. doi: 10.1136/bcr-2023-258418.
3
[Renal transplantation in urinary diversions].[尿流改道中的肾移植]
Urologe A. 2020 Jan;59(1):27-31. doi: 10.1007/s00120-019-01093-9.