Department of Urology, The Affiliated Hospital of Qingdao University, Qingdao, 266000, Shandong Province, China.
BMC Urol. 2023 Mar 30;23(1):52. doi: 10.1186/s12894-023-01223-8.
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.
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.
We described the case presentation, treatment and analysis of etiology of stone formation to avoid such complication.
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。
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。
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。