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内镜下处理嵌入膀胱壁的疝修补固定钉：一例报告。

Endoscopic management of hernia repair fixing tacks embedded in the bladder wall: A case report.

作者信息

Huynh Tran Ngoc An, Qu Liang, Shahbaz Shekib, Manohar Paul, Donnellan Scott, Sousa Antonio De

机构信息

Department of Urology, Monash Health, Melbourne, Victoria, 3806 Australia.

出版信息

Bladder (San Franc). 2024 Oct 30;11(3):e21200014. doi: 10.14440/bladder.2024.0008. eCollection 2024.

DOI:10.14440/bladder.2024.0008
PMID:39640191
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11617062/
Abstract

BACKGROUND

Migration of fixing tacks into the bladder wall is a rare complication following laparoscopic hernia repairs.

CASE PRESENTATION

This report detailed an 80-year-old male who presented to the clinic with hematuria. Cystoscopy revealed a bladder calculus adherent to the bladder wall, with an underlying metallic tack. A stent snare was used to secure the edges of the tack, and a resectoscope loop was carefully used to resect and free it from surrounding mucosa.

CONCLUSION

This was the first case report to describe the successful removal of a metallic fixing tack from the bladder through a transurethral approach in a patient post-hernia repair.

摘要

背景

在腹腔镜疝修补术后，固定钉迁移至膀胱壁是一种罕见的并发症。

病例报告

本报告详细介绍了一名80岁男性，他因血尿就诊。膀胱镜检查发现膀胱壁上附着一块膀胱结石，其下方有一枚金属固定钉。使用支架圈套器固定钉的边缘，并用切除镜环小心地将其从周围黏膜切除并游离。

结论

这是首例描述在疝修补术后患者中通过经尿道途径成功从膀胱中取出金属固定钉的病例报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ea/11617062/3414a1befe75/bladder-11-e21200014-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ea/11617062/c71a4d773d88/bladder-11-e21200014-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ea/11617062/3414a1befe75/bladder-11-e21200014-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ea/11617062/c71a4d773d88/bladder-11-e21200014-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ea/11617062/3414a1befe75/bladder-11-e21200014-g002.jpg

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本文引用的文献

1
Collateral damage of wandering ProTacks.游走 ProTacks 的附带损伤。
Low Urin Tract Symptoms. 2023 Jan;15(1):31-34. doi: 10.1111/luts.12465. Epub 2022 Oct 18.
2
Laparoscopic management of mesh migration into urinary bladder following laparoscopic totally extraperitoneal inguinal hernia repair-A case report.腹腔镜完全腹膜外腹股沟疝修补术后补片移入膀胱的腹腔镜处理——1例报告
Int J Surg Case Rep. 2021 Jan;78:401-404. doi: 10.1016/j.ijscr.2020.12.065. Epub 2020 Dec 28.
3
Fixing tacks induced bladder erosion and recurrent stones following laparoscopic inguinal hernia repair: a case report.
腹腔镜腹股沟疝修补术后固定钉导致膀胱侵蚀和复发性结石：一例报告
BMC Surg. 2020 Jul 21;20(1):161. doi: 10.1186/s12893-020-00818-4.