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全肾输尿管膀胱切除术后单肾出现尿路真菌球。

Urinary tract fungal ball in a single kidney after total nephroureterocystectomy.

作者信息

Nakano Yoshinori, Sekino Yohei, Takemoto Kenshiro, Ueno Takeshi, Fujii Shogo, Kitano Hiroyuki, Hieda Keisuke, Ohara Shinya, Hinata Nobuyuki

机构信息

Department of Urology Nakatsu Daiichi Hospital Ooita Japan.

Department of Urology, Graduate School of Biomedical and Health Sciences Hiroshima University Hiroshima Japan.

出版信息

IJU Case Rep. 2024 Jul 9;7(5):371-374. doi: 10.1002/iju5.12757. eCollection 2024 Sep.

Abstract

INTRODUCTION

Fungal balls in the urinary tract are rare but dangerous complications of candiduria. Here, we report a case of a urinary tract fungal ball in a single kidney after total nephroureterocystectomy.

CASE PRESENTATION

The patient was an 80-year-old male. He had a history of pyelonephritis, and his ureteral stent was regularly replaced. He was admitted to the hospital with a chief complaint of urinary tract obstruction, and a 50-mm-sized mass was found within the renal pelvis. Because the ureteral stent frequently became obstructed, the mass was removed percutaneously. was detected on the tissue culture results, and the mass was diagnosed as a fungal ball.

CONCLUSION

Appropriate urinary drainage methods for fungal balls vary among patients, and it is important to select an appropriate method based on the accumulated number of cases.

摘要

引言

尿路真菌球是念珠菌尿症罕见但危险的并发症。在此,我们报告一例全肾输尿管膀胱切除术后单肾出现尿路真菌球的病例。

病例介绍

患者为一名80岁男性。他有肾盂肾炎病史,输尿管支架定期更换。他因尿路梗阻为主诉入院,在肾盂内发现一个50毫米大小的肿块。由于输尿管支架频繁梗阻,经皮切除了肿块。组织培养结果检测到 ,肿块被诊断为真菌球。

结论

真菌球的合适尿路引流方法因患者而异,根据累积病例数选择合适的方法很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2866/11366433/7e43ec412e94/IJU5-7-371-g001.jpg

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