一名17岁患者，留置输尿管支架一端有巨大膀胱结石：一枚被遗忘的双“J”支架的“墓碑”。
A 17-year-old indwelling ureteral stent with large vesical calculus at one end: The tombstone of a forgotten Double "J" stent.
作者信息
Ghorai Rudra P, Talwar Harkirat S, Mittal Ankur, Narain Tushar A, Panwar Vikas K
机构信息
Department of Urology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
出版信息
J Family Med Prim Care. 2022 Feb;11(2):796-798. doi: 10.4103/jfmpc.jfmpc_951_21. Epub 2022 Feb 16.
OBJECTIVE
To highlight the presentation and management of a 17-year-old forgotten ureteral stent with a large vesical calculus at one end, a very rare yet devastating complication of ureteral stenting.
CASE PRESENTATION
A 65-year-old gentleman presented with complaints of lower urinary tract symptoms for two years with a history of ureterolithotomy done 17 years ago. Imaging revealed a forgotten ureteral stent embedded in a large vesical calculus. He underwent a percutaneous cystolithotomy with removal of the forgotten stent.
CONCLUSION
DJ stent is commonly used in urologic practice. It is a double-edged sword as it can lead to severe morbidity in patients who have forgotten stent. Knowledge of DJ stent-related complications and need of timely removal will help primary care physician in providing better health care. Proper counselling of patients before and after the placement of stent and maintenance of stent registries play a major role in avoiding this dreadful complication.
目的
强调一名17岁遗忘输尿管支架且一端伴有大膀胱结石的病例表现及处理，这是输尿管支架置入术一种极为罕见但严重的并发症。
病例介绍
一名65岁男性因下尿路症状主诉两年前来就诊，其17年前有输尿管切开取石术病史。影像学检查显示一枚遗忘的输尿管支架嵌入一枚大膀胱结石中。他接受了经皮膀胱结石切开取石术并取出了遗忘的支架。
结论
DJ支架常用于泌尿外科实践。它是一把双刃剑，因为它会给遗忘支架的患者带来严重的发病风险。了解DJ支架相关并发症以及及时取出的必要性将有助于初级保健医生提供更好的医疗服务。在支架置入前后对患者进行适当的咨询以及维护支架登记册在避免这种可怕的并发症方面起着重要作用。
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