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与尿道狭窄相关的罕见尿道异物“AA电池”:一例报告。

An unusual urethral foreign body "AA battery" associated with urethral stenosis: A case report.

作者信息

Hosseini Jalil, Abouei Saeid, Mirjalili Ali Mohammad

机构信息

Men's Health and Reproductive Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Student Research Committee, Faculty of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

出版信息

Urol Case Rep. 2021 Oct 28;40:101921. doi: 10.1016/j.eucr.2021.101921. eCollection 2022 Jan.

DOI:10.1016/j.eucr.2021.101921
PMID:34820283
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8599993/
Abstract

Urethral foreign bodies are rare with a variety of causes, including psychiatric illness, autoeroticism, intoxication, and perceived contraception, we present a 49-yr-old man who went to the emergency ward 9-month ago inserting an AA battery in his urethra. The battery was removed without surgery after 24 hours. The patient was then referred to the hospital after 5 months with complaints of obstructive urinary symptoms such as decreased urinary caliber, diagnosed with penile urethral stricture, and undergoes dilatation of the urethra. Usually, in the case of urethral stricture, the initial steps including urethral dilation and internal urethrotomy can be used.

摘要

尿道异物较为罕见,病因多样,包括精神疾病、自体性行为、中毒以及误以为是避孕手段等。我们报告一名49岁男性,9个月前前往急诊室,称其将一节AA电池插入尿道。24小时后,电池未经手术即被取出。5个月后,患者因出现排尿梗阻症状如尿线变细前来就诊,被诊断为阴茎尿道狭窄,并接受了尿道扩张术。通常,对于尿道狭窄病例,初始治疗措施包括尿道扩张和尿道内切开术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b989/8599993/45295c371540/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b989/8599993/829f2fe208c7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b989/8599993/45295c371540/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b989/8599993/829f2fe208c7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b989/8599993/45295c371540/gr2.jpg

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本文引用的文献

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Conservative Management for Urethral Foreign Body: A Case Report of an Adolescent Boy With Repeated Events.尿道异物的保守治疗:一名反复出现相关情况的青少年男性病例报告
Front Pediatr. 2021 Jul 26;9:691778. doi: 10.3389/fped.2021.691778. eCollection 2021.
2
Case report: Removal of a big sewing needle from a boy's urethra from the skin for the first time.病例报告:首次从一名男孩皮肤处取出尿道内的一枚大缝针。
Urol Case Rep. 2021 Mar 26;38:101662. doi: 10.1016/j.eucr.2021.101662. eCollection 2021 Sep.
3
Urethral Foreign Bodies: Clinical Presentation and Management.
尿道异物:临床表现与处理
Urology. 2016 Nov;97:257-260. doi: 10.1016/j.urology.2016.05.045. Epub 2016 May 31.
4
Retained self-inserted foreign body into the urethra associated with sequela urethral stenosis: a case report.与尿道狭窄后遗症相关的尿道内自行留置异物:一例报告
J Med Case Rep. 2014 Jul 5;8:244. doi: 10.1186/1752-1947-8-244.
5
An unusual urethral foreign body.一个不寻常的尿道异物。
Int J Surg Case Rep. 2013;4(11):1052-4. doi: 10.1016/j.ijscr.2013.07.017. Epub 2013 Aug 3.