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一例膀胱留置导尿管致输尿管口梗阻的病例。

A case of ureteral orifice obstruction by bladder indwelling catheter.

作者信息

Tsuboi Kazuma, Hino Kosuke, Kanemoto Shin, Nishiyama Yasuhiro, Arata Ryoji, Ono Noriaki

机构信息

Department of Urology, Kochi Health Science Center, Japan.

出版信息

Urol Case Rep. 2025 Jan 15;59:102945. doi: 10.1016/j.eucr.2025.102945. eCollection 2025 Mar.

Abstract

A 91-year-old man with a long-term bladder indwelling catheter (BIC) for benign prostatic hyperplasia (BPH) presented to our emergency department with fever. Computed tomography (CT) showed the tip of the BIC was located within the left ureterovesical junction, which caused left hydronephrosis and a hydroureter. The catheter was replaced, and the hydronephrosis improved quickly. The patient was treated with antibiotic therapy and discharged on day 10. Catheterization is one of the most common procedures performed by urologists; however, it can lead to unexpected complications.

摘要

一名91岁男性因良性前列腺增生(BPH)长期留置膀胱导尿管(BIC),因发热前来我院急诊科就诊。计算机断层扫描(CT)显示BIC尖端位于左输尿管膀胱连接处,导致左肾积水和输尿管积水。更换了导尿管,肾积水很快得到改善。患者接受了抗生素治疗,并于第10天出院。导尿术是泌尿外科医生最常进行的操作之一;然而,它可能会导致意想不到的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f248/11787700/db9783c2d35c/gr1.jpg

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