Van Daele Astrid, Schurmans Johan, Van Reusel Raf
AZ Turnhout, Rubensstraat 166, 2300 Turnhout, Belgium.
Case Rep Urol. 2021 Mar 8;2021:5563030. doi: 10.1155/2021/5563030. eCollection 2021.
The aim of this report is to describe a case of fungal bezoar obstruction of the kidney and our experience in managing it endoscopically. A 61-year-old woman presented with flank pain. On CT scan, a proximal stone and secondary dilatation was seen. After placing a DJ stent and administering antibiotics, there was persistent pain, sickness, and kidney dilatation on CT scan. URS showed soft tissue bezoars surrounding the stent and the stone. We managed to remove all the fungal balls mechanically and endoscopically. This report showed that endoscopic removal of the bezoars is a good alternative for antifungal installation.
本报告旨在描述一例真菌性肾铸型梗阻病例以及我们在内镜治疗方面的经验。一名61岁女性因胁腹疼痛就诊。CT扫描显示近端结石及继发性扩张。放置DJ支架并使用抗生素后，患者仍持续疼痛、恶心，CT扫描显示肾脏扩张。输尿管镜检查显示支架和结石周围有软组织铸型。我们成功地通过机械和内镜方法清除了所有真菌球。本报告表明，内镜下清除铸型是抗真菌治疗的一种良好替代方法。
