Ding Hong-Xiang, Huang Jia-Guo, Feng Chao, Tai Sheng-Cheng
Department of Urology, Affiliated Xiaoshan Hospital, Hangzhou Normal University, Hangzhou 310000, Zhejiang Province, China.
School of Medicine, Hangzhou Normal University, Hangzhou 310000, Zhejiang Province, China.
World J Clin Cases. 2023 May 16;11(14):3317-3322. doi: 10.12998/wjcc.v11.i14.3317.
Rectal prolapse occurs most commonly in children and middle-aged and elderly women and is relatively rare in young men and is occasionally caused by bladder stones. Severe rectal prolapse, bilateral hydronephrosis, and renal insufficiency caused by bladder stones are rare in a 30-year-old man.
We report the case of a 30-year-old male patient with cerebral palsy who presented with a large bladder stone that resulted in severe rectal prolapse, bilateral hydronephrosis, and renal insufficiency. Following a definitive diagnosis, the bladder stone was successfully removed, and his kidney function returned to normal. We assessed the patient's nutritional status and stone composition and concluded that the main cause was malnutrition.
Rectal prolapse is a rare clinical manifestation of bladder stones, particularly in young adults. Cerebral palsy patients are a vulnerable group in society because of their intellectual disabilities and communicative impairments. Accordingly, besides taking care of their daily diet, abnormal signs in their bodies should receive the doctors' attention in a timely manner.
直肠脱垂最常见于儿童及中老年女性,在青年男性中相对少见,偶尔由膀胱结石引起。膀胱结石导致严重直肠脱垂、双侧肾积水及肾功能不全在一名30岁男性中较为罕见。
我们报告一例30岁男性脑瘫患者,其患有巨大膀胱结石,导致严重直肠脱垂、双侧肾积水及肾功能不全。明确诊断后,成功取出膀胱结石,其肾功能恢复正常。我们评估了患者的营养状况及结石成分,得出主要病因是营养不良。
直肠脱垂是膀胱结石的一种罕见临床表现,尤其在青年成人中。脑瘫患者因智力残疾和沟通障碍是社会中的弱势群体。因此,除了关注他们的日常饮食外,其身体出现的异常体征也应及时受到医生的关注。