“全输尿管损伤后回肠代输尿管：被遗忘的双J支架的灾难性并发症”
Ileal Ureteral Substitution After "Panureteral Damage: A Devastating Complication of Forgotten Double-J Stent".
作者信息
Kumar Sunil, Dutt Uma Kant, Navriya Shiv Charan, Mammen Kim Jacob
机构信息
Department of Urology, All India Institute of Medical Sciences, Rishikesh, India.
Department of Urology, Christian Medical College and Hospital, Ludhiana, India.
出版信息
J Endourol Case Rep. 2020 Sep 17;6(3):217-219. doi: 10.1089/cren.2019.0156. eCollection 2020.
Forgotten ureteral stent is frequently observed in urologic practice. It has serious consequences such as encrustation, stone formation, fragmentation, ureteral damage, and sepsis. Panureteral damage by forgotten stent is a major complication requiring complex reconstructive surgery. We report a case of 66-year-old man with forgotten ureteral stent for 10 years, which caused panureteral damage. Ileal ureteral substitution was done and kidney was salvaged. Prolonged forgotten stent can cause panureteral fibrosis and requires complex surgical procedure such as ileal ureteral substitution.
遗忘输尿管支架在泌尿外科临床实践中屡见不鲜。它会引发诸如结壳、结石形成、断裂、输尿管损伤及脓毒症等严重后果。遗忘支架所致的全输尿管损伤是一种需要进行复杂重建手术的主要并发症。我们报告一例66岁男性，其输尿管支架被遗忘达10年之久，导致了全输尿管损伤。实施了回肠代输尿管术并挽救了肾脏。输尿管支架长期被遗忘可导致全输尿管纤维化，需要诸如回肠代输尿管术这样的复杂手术操作。
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