Zhang Xu, Liu Jinqiu, Xia Qier, Xu Jie
Department of Urology, Pudong New Area People's Hospital, Shanghai, 201299, China.
Urol Case Rep. 2023 Apr 3;48:102393. doi: 10.1016/j.eucr.2023.102393. eCollection 2023 May.
It is exceedingly rare for fungus balls both 3 cm diameter in the renal pelvis and 6 cm diameter in urinary bladder simultaneously. An elderly woman has been successfully cured by several endoscopic operations. Transurethral bladder fungus ball removal was performed first. Then septic shock and pseudoaneurysm occurred after removal of fungus ball by percutaneous nephroscope. This case highlights the importance of the ureteral stent should not be left for a long time. Once there is fungal infection, the ureteral stent should be removed immediately. Endoscopic operation is an effective remedy for fungus balls.
肾盂直径3厘米和膀胱直径6厘米的真菌球同时存在极为罕见。一名老年女性经多次内镜手术成功治愈。首先进行经尿道膀胱真菌球切除术。然后在经皮肾镜切除真菌球后发生了感染性休克和假性动脉瘤。该病例凸显了输尿管支架不应长期留置的重要性。一旦发生真菌感染，应立即取出输尿管支架。内镜手术是治疗真菌球的有效方法。
