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双J管导致的危及生命的并发症:肾包膜下血肿。

Life-threatening complication due to double-J stent: renal subcapsular hematoma.

作者信息

Rahoui Moez, Ouanes Yassine, Chaker Kays, Dali Kheireddine Mrad, Bibi Mokhtar, Sellami Ahmed, Rhouma Sami Ben, Nouira Yassine

机构信息

Urology Department, La Rabta Hospital, Tunis, Tunisia.

出版信息

J Surg Case Rep. 2022 Jul 30;2022(7):rjac329. doi: 10.1093/jscr/rjac329. eCollection 2022 Jul.

Abstract

The double-J ureteral stent is a standard procedure in daily urological practice. Although considered as safe, this approach is fraught with several complications. These complications are of limited severity and resolve with symptomatic treatment. In some cases, serious and life-threatening complications, such as infection and subcapsular hematoma, can occur. In the literature, a few cases of subcapsular renal hematoma secondary to ureteral stent insertion have been reported. Herein, we report a case of renal subcapsular hematoma combined with hemorrhagic shock in a 67-year-old patient who had a ureteral stent insertion one month ago.

摘要

双J型输尿管支架置入术是泌尿外科日常实践中的标准操作。尽管该方法被认为是安全的,但仍存在一些并发症。这些并发症严重程度有限,通过对症治疗可缓解。在某些情况下,可能会出现严重且危及生命的并发症,如感染和包膜下血肿。文献中已报道了少数几例输尿管支架置入术后继发包膜下肾血肿的病例。在此,我们报告一例67岁患者,该患者在一个月前进行了输尿管支架置入术,现发生肾包膜下血肿合并失血性休克。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66d8/9341300/006028003025/rjac329f1.jpg

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本文引用的文献

1
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2
An uncommon situation of kidney perforation with a ureteric stent.
Cent European J Urol. 2014;67(1):113-4. doi: 10.5173/ceju.2014.01.art28. Epub 2014 Apr 17.

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