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经内镜治疗膀胱神经纤维瘤所致输尿管梗阻。

Obstruction of the ureter by neurofibroma of the urinary bladder treated endoscopically.

作者信息

Pilosov Solomon Ilona, Klein Ilan, Friefeld Yuval, Zreik Rani, Fares Gazi, Dekel Yoram

机构信息

Department of Urology, Lady Davis Carmel Medical Center, Haifa, Israel.

出版信息

Urol Case Rep. 2022 Apr 25;43:102090. doi: 10.1016/j.eucr.2022.102090. eCollection 2022 Jul.

DOI:10.1016/j.eucr.2022.102090
PMID:35520023
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9065591/
Abstract

We present a case of a 23-year-old male with NF-1 diagnosed with bladder neurofibroma at childhood with regular ultrasound (US) follow-up since then, who presented with an obstructed left kidney. A detailed evaluation including blood tests and advanced imaging revealed left hydroureteronephrosis associated with a large bladder mass. The patient underwent cystoscopy and resection of the left ureteral orifice that was covered by the mass, and an indwelling ureteral stent was left in place. A follow-up US was performed one month after stent removal showing resolution of the hydronephrosis.

摘要

我们报告一例23岁男性,其在儿童期被诊断为患有神经纤维瘤病1型(NF-1)并伴有膀胱神经纤维瘤,自那时起接受定期超声(US)随访,此次因左肾梗阻前来就诊。详细评估包括血液检查和高级影像学检查,结果显示左肾输尿管积水并伴有一个大的膀胱肿块。患者接受了膀胱镜检查,并切除了被肿块覆盖的左输尿管口,同时留置了输尿管支架。在拔除支架一个月后进行的超声随访显示肾积水已消退。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/090b/9065591/ce77bca68132/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/090b/9065591/8e850b2ab91d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/090b/9065591/19aa1379b54d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/090b/9065591/ce77bca68132/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/090b/9065591/8e850b2ab91d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/090b/9065591/19aa1379b54d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/090b/9065591/ce77bca68132/gr3.jpg

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本文引用的文献

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The Diagnosis and Management of Neurofibromatosis Type 1.神经纤维瘤病 1 型的诊断与管理。
Med Clin North Am. 2019 Nov;103(6):1035-1054. doi: 10.1016/j.mcna.2019.07.004.
2
Primary Bladder Neurofibroma: A Rare Case with Clinical Implications and Diagnostic Challenges.原发性膀胱神经纤维瘤:1例罕见病例及其临床意义和诊断挑战
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