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巨大尿道结石合并尿道皮肤瘘:一例报告。

A giant urethral stone with urethrocutaneous fistula: A case report.

作者信息

Pramana Henry, Sibarani Jupiter

机构信息

Department of Urology, Padjadjaran University/Hasan Sadikin General Hospital, Bandung, Indonesia.

出版信息

Urol Case Rep. 2024 Sep 11;57:102848. doi: 10.1016/j.eucr.2024.102848. eCollection 2024 Nov.

DOI:10.1016/j.eucr.2024.102848
PMID:39634079
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11615501/
Abstract

Calculi in the urethra are uncommon, and urethral calculi causing urethrocutaneous fistula are extremely rare. A 56 years-old man with history of urine passage from his scrotal area for a month. During physical examination, we found a multiple fistula in scrotal area and revealed by the ultrasound. Abdominal x-ray suggests a vesicolithiasis and multiple urethrolithiasis. To date, there are 14 cases of giant urethral stone with and without urethrocutaneous fistula reported in literature worldwide for the last 14 years. It was related to patients that delayed to seek a medical attention from his symptoms.

摘要

尿道结石并不常见,而导致尿道皮肤瘘的尿道结石极为罕见。一名56岁男性,阴囊区漏尿1个月。体格检查时,我们在阴囊区发现多处瘘管,超声检查予以证实。腹部X线检查提示膀胱结石和多发尿道结石。截至目前,在过去14年里,全球文献报道有14例伴有或不伴有尿道皮肤瘘的巨大尿道结石病例。这与患者出现症状后延迟就医有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ee9/11615501/b1e2c74bb42a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ee9/11615501/3fc43f0cfd4d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ee9/11615501/66d70ac5567d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ee9/11615501/b1e2c74bb42a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ee9/11615501/3fc43f0cfd4d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ee9/11615501/66d70ac5567d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ee9/11615501/b1e2c74bb42a/gr3.jpg

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本文引用的文献

1
Urethral calculi with a urethral fistula: a case report and review of the literature.伴有尿道瘘的尿道结石:一例病例报告及文献综述
BMC Res Notes. 2017 Sep 6;10(1):444. doi: 10.1186/s13104-017-2798-z.
2
Large anterior urethral calculus presented as scrotal mass with urethrocutaneous fistula.巨大前尿道结石表现为伴有尿道皮肤瘘的阴囊肿块。
BMJ Case Rep. 2013 Sep 24;2013:bcr2013200805. doi: 10.1136/bcr-2013-200805.
3
Female urethral diverticulum containing a calculus: a case report.女性尿道憩室合并结石:一例报告。
W V Med J. 2008 Jul-Aug;104(4):15-6.
4
Giant prostatic urethral calculus associated with urethrocutaneous fistula.
Int J Urol. 2006 May;13(5):643-4. doi: 10.1111/j.1442-2042.2006.01374.x.
5
Outcomes of urethral calculi patients in an endemic region and an undiagnosed primary fossa navicularis calculus.地方性地区尿道结石患者的治疗结果及一例未被诊断出的原发性舟状窝结石
Urol Res. 2006 Feb;34(1):37-40. doi: 10.1007/s00240-005-0008-2. Epub 2006 Jan 24.