精索静脉曲张栓塞线圈移位导致输尿管梗阻和肾积水：一例报告。
Migration of varicocele coil leading to ureteral obstruction and hydronephrosis: A case report.
作者信息
Alamri Abdulaziz
机构信息
Department of Surgery, College of Medicine, King Khalid University, Abha, Alfaraa 61421, Saudi Arabia.
出版信息
World J Clin Cases. 2024 Jun 6;12(16):2856-2861. doi: 10.12998/wjcc.v12.i16.2856.
BACKGROUND
Varicocele embolization, a minimally invasive treatment for symptomatic varicoceles, carries a rare risk of complications like ureteral obstruction and hydronephrosis. This case report documents such a case to raise awareness of these potential complications and showcase minimally invasive surgical management as a successful solution.
CASE SUMMARY
A 35-year-old male presented with flank pain and hematuria following varicocele embolization. Imaging confirmed left ureteral obstruction and hydronephrosis. Laparoscopic ureterolysis successfully removed the embolization coil and repaired the ureter, resolving the patient's symptoms. Follow-up at six months and two years showed sustained improvement.
CONCLUSION
Minimally invasive surgery offers an effective treatment option for rare complications like ureteral obstruction arising from varicocele embolization.
背景
精索静脉曲张栓塞术是一种针对有症状精索静脉曲张的微创治疗方法，但存在输尿管梗阻和肾积水等罕见并发症风险。本病例报告记录了这样一个病例，以提高对这些潜在并发症的认识，并展示微创外科治疗作为一种成功解决方案。
病例摘要
一名35岁男性在精索静脉曲张栓塞术后出现胁腹疼痛和血尿。影像学检查证实左侧输尿管梗阻和肾积水。腹腔镜输尿管松解术成功取出栓塞线圈并修复输尿管，缓解了患者症状。六个月和两年后的随访显示病情持续改善。
结论
对于精索静脉曲张栓塞术引起的输尿管梗阻等罕见并发症，微创手术提供了一种有效的治疗选择。
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