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意外发现:肝脓肿引流术后,肾盂内发现异物。

Unforeseen encounter: After liver abscess drainage, a foreign body was found in the renal pelvis.

作者信息

Safar Omar, Elatreisy Adel, Thamer Saad, Asiri Saeed A, El Madawie Mahmoud Z, Al-Aown Abdulrahman

机构信息

Urology Department, Armed Forces Hospital Southern Region, Khamis Mushayt, Saudi Arabia.

Urology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.

出版信息

Urol Case Rep. 2024 Nov 28;58:102896. doi: 10.1016/j.eucr.2024.102896. eCollection 2025 Jan.

DOI:10.1016/j.eucr.2024.102896
PMID:39697834
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11652751/
Abstract

Intrarenal foreign bodies are rare and could be iatrogenic through direct penetration, penetration through the gastrointestinal tract (GIT), or retrograde migration from the lower urinary tract. We present Intraoperatively incidental findings of an intrarenal foreign body during percutaneous nephrolithotomy (PCNL) with no previous urological intervention. However, there is a significant multiple percutaneous liver abscess drainage and endoscopic procedures. This case report of a pigtail thread rupture, likely resulting from recent hepatic abscess drainage. In conclusion, Intrarenal foreign bodies are rare, and there is no standard protocol for retrieving them. However, Treatment can be challenging by retrograde intrarenal surgery and PCNL.

摘要

肾内异物较为罕见,可能通过直接穿刺、经胃肠道(GIT)穿刺或从下尿路逆行迁移等医源性途径形成。我们报告了1例在经皮肾镜取石术(PCNL)过程中术中偶然发现的肾内异物,此前无泌尿外科干预史。然而,患者有多次经皮肝脓肿引流及内镜手术史。本病例报告了一例猪尾线断裂,可能是近期肝脓肿引流所致。总之,肾内异物罕见,且尚无取出它们的标准方案。然而,通过逆行肾内手术和PCNL进行治疗可能具有挑战性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1286/11652751/8fead2e5143a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1286/11652751/d21fac85a306/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1286/11652751/9d4985699c28/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1286/11652751/6fe811893610/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1286/11652751/8fead2e5143a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1286/11652751/d21fac85a306/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1286/11652751/9d4985699c28/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1286/11652751/6fe811893610/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1286/11652751/8fead2e5143a/gr4.jpg

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本文引用的文献

1
Incidental Finding of Intrarenal Foreign Guidewire During Percutaneous Nephrolithotomy: A Case Report and Literature Review.经皮肾镜取石术中偶然发现肾内导丝:病例报告及文献复习。
Am J Case Rep. 2023 Jun 4;24:e939700. doi: 10.12659/AJCR.939700.
2
Hem-o-Lok clip migration into renal pelvis and stone formation as a long-term complication following laparoscopic pyelolithotomy: a case report and literature review.腹腔镜肾盂切开取石术后 Hem-o-Lok 夹迁移至肾盂并形成结石:一例病例报告及文献复习。
BMC Urol. 2022 Apr 19;22(1):66. doi: 10.1186/s12894-022-01015-6.
3
Retrieval of intrarenal coiled and ruptured guidewire by retrograde intrarenal surgery: A case report and literature review.
经皮肾镜手术逆行取出肾内盘曲及断裂导丝:1例报告并文献复习
Open Med (Wars). 2021 Nov 12;16(1):1728-1732. doi: 10.1515/med-2021-0385. eCollection 2021.
4
Foreign Body in Kidney Presenting as Renal Stone.表现为肾结石的肾脏异物
Cureus. 2020 Dec 5;12(12):e11923. doi: 10.7759/cureus.11923.
5
Intrarenal foreign body after PCNL procedure: A rare complication.经皮肾镜取石术后肾内异物:一种罕见的并发症。
Urol Case Rep. 2020 Dec 19;35:101545. doi: 10.1016/j.eucr.2020.101545. eCollection 2021 Mar.
6
Bladder Outlet Obstruction Induced by the Compression of Displaced Hemipelvic Prosthesis After Pelvic Reconstruction: A Case Report.骨盆重建后移位半骨盆假体压迫致膀胱出口梗阻:1 例报告。
Urology. 2019 Nov;133:e9-e10. doi: 10.1016/j.urology.2019.07.015. Epub 2019 Jul 25.
7
Migrated Hem-o-Lok clips in the ureter: a rare cause of recurrent urinary tract infection.输尿管内移位的Hem-o-Lok夹:复发性尿路感染的罕见原因。
BMJ Case Rep. 2017 Feb 15;2017:bcr2016219143. doi: 10.1136/bcr-2016-219143.
8
A rare case of unusual migrated foreign bodies in kidney and their successful extraction using retrograde percutaneous nephrostomy.一例罕见的肾脏内异常移位异物病例及其通过逆行经皮肾造瘘术成功取出的情况。
Qatar Med J. 2015 Jul 2;2015(1):7. doi: 10.5339/qmj.2015.7. eCollection 2015.
9
Post-nephrectomy foreign-body granuloma in the retroperitoneum mimicking lymph node metastasis of renal cell cancer.腹膜后肾切除术后异物肉芽肿,模拟肾细胞癌淋巴结转移。
Onco Targets Ther. 2014 Nov 20;7:2137-41. doi: 10.2147/OTT.S70705. eCollection 2014.
10
Fragmented pigtail percutaneous nephrostomy tubes: etiology and management.分段猪尾状经皮肾造瘘管:病因及处理
Korean J Urol. 2012 Jul;53(7):492-6. doi: 10.4111/kju.2012.53.7.492. Epub 2012 Jul 19.