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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.

DOI:10.12998/wjcc.v12.i16.2856
PMID:38899306
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11185353/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07da/11185353/87b966490fe6/WJCC-12-2856-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07da/11185353/8078f04e3115/WJCC-12-2856-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07da/11185353/10a4fdd78405/WJCC-12-2856-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07da/11185353/90d13a713e9f/WJCC-12-2856-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07da/11185353/6280a788a1db/WJCC-12-2856-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07da/11185353/87b966490fe6/WJCC-12-2856-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07da/11185353/8078f04e3115/WJCC-12-2856-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07da/11185353/10a4fdd78405/WJCC-12-2856-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07da/11185353/90d13a713e9f/WJCC-12-2856-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07da/11185353/6280a788a1db/WJCC-12-2856-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07da/11185353/87b966490fe6/WJCC-12-2856-g005.jpg

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本文引用的文献

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Ureteral Obstruction Promotes Ureteral Inflammation and Fibrosis.输尿管梗阻会促进输尿管炎症和纤维化。
Eur Urol Focus. 2023 Mar;9(2):371-380. doi: 10.1016/j.euf.2022.09.014. Epub 2022 Oct 13.
2
Migration of a Varicocele Coil to the Right Heart.精索静脉曲张线圈迁移至右心。
JACC Case Rep. 2020 Sep 30;2(15):2312-2317. doi: 10.1016/j.jaccas.2020.07.035. eCollection 2020 Dec.
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Varicocele Embolization: Patient Selection: Preprocedure Workup, and Technical Considerations.精索静脉曲张栓塞术：患者选择、术前检查及技术考量
Semin Intervent Radiol. 2021 Jun;38(2):176-181. doi: 10.1055/s-0041-1727105. Epub 2021 Jun 3.
4
Varicocele embolization: Anatomical variations of the left internal spermatic vein and endovascular treatment with different types of coils.精索静脉曲张栓塞术：左精索内静脉的解剖变异及不同类型弹簧圈的血管内治疗。
Diagn Interv Imaging. 2018 Oct;99(10):599-607. doi: 10.1016/j.diii.2018.05.013. Epub 2018 Jun 14.
5
Varicocele embolization with glue and coils: A single center experience.使用胶水和弹簧圈进行精索静脉曲张栓塞术：单中心经验
Diagn Interv Imaging. 2017 Jul-Aug;98(7-8):529-534. doi: 10.1016/j.diii.2017.01.006. Epub 2017 Feb 6.
6
Comparison of three different embolic materials for varicocele embolization: retrospective study of tolerance, radiation and recurrence rate.三种不同栓塞材料用于精索静脉曲张栓塞术的比较：耐受性、辐射及复发率的回顾性研究
Quant Imaging Med Surg. 2015 Dec;5(6):806-14. doi: 10.3978/j.issn.2223-4292.2015.10.10.
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Epidemiology of varicocele.精索静脉曲张的流行病学
Asian J Androl. 2016 Mar-Apr;18(2):179-81. doi: 10.4103/1008-682X.172640.
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Sclerosis and varicocele embolization with N-butyl cyanoacrylate: experience in 41 patients.使用氰基丙烯酸正丁酯进行硬化和精索静脉曲张栓塞术：41例患者的经验
Acta Radiol. 2014 Mar;55(2):179-85. doi: 10.1177/0284185113493774. Epub 2013 Jul 25.
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Endovascular embolization of varicoceles using n-butyl cyanoacrylate (NBCA) glue.使用氰基丙烯酸正丁酯（NBCA）胶水对精索静脉曲张进行血管内栓塞治疗。
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