膀胱外翻修复术后复发性巨大新膀胱结石挤出
Recurrent giant neobladder calculus extrusion after bladder exstrophy repair.
作者信息
Guimarães Thiago, Alves Fátima, Pinheiro Hugo, Campos Pinheiro Luís
机构信息
Urology Department Centro Hospitalar Universitário de Lisboa Central Lisbon Portugal.
Pediatric Surgery Department Centro Hospitalar Universitário de Lisboa Central Lisbon Portugal.
出版信息
IJU Case Rep. 2022 Dec 8;6(2):116-119. doi: 10.1002/iju5.12563. eCollection 2023 Mar.
INTRODUCTION
Patients with bladder exstrophy subjected to reconstructive surgeries are at risk of developing urinary calculus.
CASE PRESENTATION
We report the case of a 29-year-old male patient with bladder exstrophy who presented with a recurrent episode of extrusion of calculus through the neobladder and anterior abdominal wall. Calculus removal and reconstructive repair of the neobladder and abdominal wall were performed in 2010. Nine years following the procedure, the patient returned with new large neobladder calculus extrusion.
CONCLUSION
Recurrence of large calculus should be seen as the new paradigm for the importance of close follow-up in bladder exstrophy patients.
引言
接受重建手术的膀胱外翻患者有发生尿路结石的风险。
病例报告
我们报告一例29岁膀胱外翻男性患者，该患者出现结石经新膀胱和前腹壁反复挤出的情况。2010年进行了结石取出以及新膀胱和腹壁的重建修复。术后九年，患者因新的大的新膀胱结石挤出而再次就诊。
结论
大结石复发应被视为膀胱外翻患者密切随访重要性的新范例。
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