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“我身体里的一颗纽扣”——纽扣电池自插入男性尿道：处理与并发症

"A button in my Benjamin" - Self-inflicted insertion of button batteries into the male urethra: Management and complications.

作者信息

Yanada Brendan Akihiko, Galiabovitch Elena, Manning Todd, Dias Brendan Hermenigildo, Suthakaran Reshi, Yao Henry

机构信息

Department of Urology, Western Health, Footscray, Victoria, Australia.

Department of Surgery, The University of Melbourne, Parkville, Victoria, Australia.

出版信息

Urol Case Rep. 2024 Jan 5;53:102653. doi: 10.1016/j.eucr.2024.102653. eCollection 2024 Mar.

DOI:10.1016/j.eucr.2024.102653
PMID:38292563
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10825319/
Abstract

We present a case of self-insertion of multiple button batteries into the urethra. Button batteries are corrosive and tissue liquefaction and necrosis can occur within 2 hours. Emergent removal, intravenous antibiotics, suprapubic and indwelling catheter insertion and close monitoring are required to prevent further tissue injury. In our case, the batteries were removed with stent grasper forceps. There was extensive caustic circumferential injury to the urethral mucosa on cystoscopic examination. This was complicated by periurethral necrosis and abscess, requiring urgent incision and debridement. No reconstruction was performed due to the very high risk of graft failure.

摘要

我们报告一例将多枚纽扣电池自行插入尿道的病例。纽扣电池具有腐蚀性，可在2小时内导致组织液化和坏死。需要紧急取出、静脉使用抗生素、耻骨上膀胱造瘘和留置导尿管，并密切监测，以防止进一步的组织损伤。在我们的病例中，使用支架抓取钳取出了电池。膀胱镜检查显示尿道黏膜有广泛的腐蚀性环形损伤。这并发了尿道周围坏死和脓肿，需要紧急切开清创。由于移植失败风险极高，未进行重建手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddcd/10825319/d10fc52eedd8/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddcd/10825319/b16dd0066b67/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddcd/10825319/c62d4ab0463f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddcd/10825319/7db16d666df1/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddcd/10825319/d10fc52eedd8/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddcd/10825319/b16dd0066b67/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddcd/10825319/c62d4ab0463f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddcd/10825319/7db16d666df1/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddcd/10825319/d10fc52eedd8/gr4.jpg

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本文引用的文献

1
An unusual urethral foreign body "AA battery" associated with urethral stenosis: A case report.与尿道狭窄相关的罕见尿道异物“AA电池”：一例报告。
Urol Case Rep. 2021 Oct 28;40:101921. doi: 10.1016/j.eucr.2021.101921. eCollection 2022 Jan.
2
Caustic foreign body insertion into the male urethra.腐蚀性异物插入男性尿道。
Urol Case Rep. 2020 Sep 3;33:101397. doi: 10.1016/j.eucr.2020.101397. eCollection 2020 Nov.
3
Pediatric button battery injuries: 2013 task force update.小儿纽扣电池损伤：2013年工作组更新内容
Int J Pediatr Otorhinolaryngol. 2013 Sep;77(9):1392-9. doi: 10.1016/j.ijporl.2013.06.006. Epub 2013 Jul 27.
4
'Putting lead in your pencil': self-insertion of an unusual urethral foreign body for sexual gratification.“往铅笔里装铅”：为获得性满足而自行插入异常尿道异物。
JRSM Short Rep. 2010 Jul 30;1(2):18. doi: 10.1258/shorts.2010.010014.
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A foreign body self-inserted via the urethra into the bladder: pocket battery.
Int Urol Nephrol. 2003;35(2):251-2. doi: 10.1023/b:urol.0000020290.56695.19.
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Reduction of paraphimosis the simple way - the Dundee technique.
BJU Int. 1999 May;83(7):859-60. doi: 10.1046/j.1464-410x.1999.00119.x.