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带巨大结石形成的新膀胱中移行 Hem-o-Lok 夹:病例报告。

Migrated Hem-o-Lok clips in the neobladder with giant stone formation: a case report.

机构信息

Department of Urology, The Affiliated Hospital of Qingdao University, Qingdao, 266000, Shandong Province, China.

出版信息

BMC Urol. 2023 Mar 30;23(1):52. doi: 10.1186/s12894-023-01223-8.

Abstract

INTRODUCTION

Neobladder urolithiasis is a rare but important delaying complication of orthotopic urinary diversion. We report a case of Hem-o-Lok (HOLC) migration into the neobladder with giant stone formation after orthotopic neobladder cystectomy.

CASE REPORT

We report a case of a 57-year-old man with frequent urination and occasional discharge of stones 3 years after a laparoscopic orthotopic neobladder cystectomy. Computed tomography revealed a large round 3.5 cm calculus. An endoscopic neocystolitholapaxy was performed, and a Hem-o-Lok was found in the center of the stone.

CONCLUSION

We described the case presentation, treatment and analysis of etiology of stone formation to avoid such complication.

摘要

介绍

原位尿流改道术的膀胱结石是一种罕见但重要的延迟并发症。我们报告了一例经腹腔镜原位新膀胱膀胱切除术 3 年后,Hem-o-Lok(HOLC)迁移至新膀胱并形成巨大结石的病例。

病例报告

我们报告了一例 57 岁男性患者,在腹腔镜原位新膀胱膀胱切除术后 3 年出现频繁排尿和偶尔结石排出。计算机断层扫描显示一个 3.5 厘米大的圆形结石。行内镜下新膀胱碎石术,发现结石中心有一个 Hem-o-Lok。

结论

我们描述了该病例的表现、治疗和结石形成病因分析,以避免此类并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab84/10061752/46c4f9089949/12894_2023_1223_Fig1_HTML.jpg

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