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巨大膀胱结石,肠膀胱扩大术的并发症:病例报告

Giant vesical lithiasis, complication of enterocystoplasty: case report.

作者信息

Nang Robert, Hinchi Hadiya, Lafia Taoulouth, Rami Mohamed, Belkacem Rachid

机构信息

Service of Pediatric Urology and Plastic Surgery, Rabat Children's Hospital, Ibn Sina University Hospital, Mohammed V Faculty of Medicine, Rabat, Morocco.

出版信息

Pan Afr Med J. 2018 Oct 22;31:132. doi: 10.11604/pamj.2018.31.132.15995. eCollection 2018.

Abstract

Frequent and recurrent pathology, bladder stone is a constant complication in enterocystoplasty enlargement. The occurrence of this lithiasis is due to some factors such as urinary tract infections, mucus secretion by the intestine segment moved, poor urinary emptying and foreign bodies (sutures, staples) intra-vesical. Clinical signs are not specific. However the formation of giant lithiases remains exceptional. Some cases have been documented in the literature. The occurrence of this affection must be prevented by dietary measures and regular follow up. New therapies for the control of mucus in the bladder tank have been emerged. Open surgical remains the most common. Today, One port trocar endoscopy enables to handle and extracted lithiases of every size.

摘要

频繁且反复出现病变,膀胱结石是肠膀胱扩大术的常见并发症。这种结石的发生归因于一些因素,如尿路感染、移植肠段的黏液分泌、排尿不畅以及膀胱内的异物(缝线、吻合钉)。临床症状不具特异性。然而,巨大结石的形成仍属罕见。文献中已有一些病例记载。必须通过饮食措施和定期随访来预防这种疾病的发生。控制膀胱内黏液的新疗法已经出现。开放手术仍然是最常见的。如今,单孔套管针内镜检查能够处理并取出各种大小的结石。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e64/6462378/00f34f1ace82/PAMJ-31-132-g001.jpg

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