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尿道膀胱钙化异物:病例报告及文献综述

Urethrovesical calcified foreign body: Case report and literature review.

作者信息

Ouskri Salim, Zaoui Youssef, Ibrahimi Ahmed, Boualaoui Imad, El Sayegh Hachem, Nouini Yassine

机构信息

IBN SINA University Hospital, Morocco.

IBN SINA University Hospital, Morocco.

出版信息

Int J Surg Case Rep. 2025 Feb;127:110794. doi: 10.1016/j.ijscr.2024.110794. Epub 2025 Jan 7.

Abstract

INTRODUCTION

Calcified bladder foreign bodies are a rare yet clinically significant entity, often introduced voluntarily or in psychiatric contexts. Their diagnosis is frequently delayed due to nonspecific symptoms and the concealed circumstances of their introduction.

CASE PRESENTATION

We report the case of a 37-year-old man, treated for schizophrenia, presenting with chronic urinary symptoms. Imaging revealed bladder calculi, later identified as calcified deposits surrounding a plastic bracelet introduced by the patient.

DISCUSSION

The case highlights the diagnostic challenges and therapeutic approaches, including surgical removal and psychiatric care to prevent recurrence. A multidisciplinary approach is recommended for optimal outcomes.

CONCLUSION

Calcified bladder foreign bodies are a rare but clinically relevant phenomenon, often associated with psychiatric disorders. Their management requires accurate diagnosis based on modern imaging techniques and tailored surgical intervention. Postoperative psychiatric care is essential to prevent high-risk behaviors and improve long-term outcomes.

摘要

引言

膀胱钙化异物是一种罕见但具有临床意义的病症,通常是患者主动引入或在精神疾病背景下出现。由于症状不具特异性以及异物引入情况隐匿,其诊断常常延迟。

病例报告

我们报告一例37岁男性精神分裂症患者,伴有慢性泌尿系统症状。影像学检查发现膀胱结石,后来确定为围绕患者自行引入的塑料手镯的钙化沉积物。

讨论

该病例突出了诊断挑战和治疗方法,包括手术取出以及精神科护理以防止复发。建议采用多学科方法以获得最佳治疗效果。

结论

膀胱钙化异物是一种罕见但具有临床相关性的现象,常与精神疾病相关。其管理需要基于现代影像学技术进行准确诊断并实施针对性的手术干预。术后精神科护理对于预防高危行为和改善长期治疗效果至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f9b/11786098/099a3371a71a/gr1.jpg

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