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长期暴露于膀胱内异物会诱发巨大结石并伴有肾功能障碍。

[Prolonged exposure to intravesical foreign body induces a giant calculus with attendant renal dysfunction].

作者信息

Saito S, Izumitani M, Shiroki R, Ishiguro K, Fujioka T, Nagakubo I

机构信息

Department of Urology, Tachikawa Kyosai Hospital.

出版信息

Nihon Hinyokika Gakkai Zasshi. 1994 Dec;85(12):1777-80. doi: 10.5980/jpnjurol1989.85.1777.

DOI:10.5980/jpnjurol1989.85.1777
PMID:7869653
Abstract

A 31-year-old man came to our hospital complaining of severe voiding pain. He had inserted a fishing line made of nylon into his urethra at the age of eighteen, which was unable to be taken out and had been left there for 13 years. Preoperative ultrasonogram showed severe bilateral hydronephrosis and the serum BUN and creatinine level were as high as 45.2 mg/dl and 4.8 mg/dl, respectively. A huge bladder stone was demonstrated in X-ray film, the patient was admitted and vesicolithotomy was performed. The size of the stone was 10.5 x 7.5 x 7.5 cm and the weight was 360 grams. The fishing line was found inside the stone and the length was over 3 meters. The serum BUN and creatinine level after the operation were still high as 28.4 mg/dl and 4.1 mg/dl, respectively, and they did not improve even after six months following.

摘要

一名31岁男性因严重排尿疼痛前来我院就诊。他18岁时将一根尼龙材质的钓鱼线插入尿道,无法取出,已留置13年。术前超声检查显示双侧严重肾积水,血清尿素氮和肌酐水平分别高达45.2mg/dl和4.8mg/dl。X线片显示膀胱内有巨大结石,患者入院后接受了膀胱切开取石术。结石大小为10.5×7.5×7.5cm,重360克。在结石内部发现了钓鱼线,长度超过3米。术后血清尿素氮和肌酐水平仍然较高,分别为28.4mg/dl和4.1mg/dl,甚至在术后六个月仍未改善。

相似文献

1
[Prolonged exposure to intravesical foreign body induces a giant calculus with attendant renal dysfunction].长期暴露于膀胱内异物会诱发巨大结石并伴有肾功能障碍。
Nihon Hinyokika Gakkai Zasshi. 1994 Dec;85(12):1777-80. doi: 10.5980/jpnjurol1989.85.1777.
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Chronic perforation of the urinary bladder by self-inserted foreign body.经自行插入异物导致的膀胱慢性穿孔。
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Unilateral hydronephrosis and hydroureter by foreign body in urinary bladder: a case report.单侧肾盂积水和输尿管积水由膀胱异物引起:一例报告。
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[A case of vesicovaginal fistula due to stone forming around an inserted foreign body (author's transl)].
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[A case of foreign body in the bladder serving as the nucleus for a calculus].膀胱内异物作为结石核心的一例
Khirurgiia (Sofiia). 1988;41(3):49-51.
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引用本文的文献

1
Giant bladder stone: A case report and review of the literature.巨大膀胱结石:一例病例报告及文献综述
Turk J Urol. 2014 Sep;40(3):189-91. doi: 10.5152/tud.2014.02603.
2
Unilateral hydronephrosis and hydroureter by foreign body in urinary bladder: a case report.单侧肾盂积水和输尿管积水由膀胱异物引起:一例报告。
J Korean Med Sci. 2012 Jun;27(6):704-6. doi: 10.3346/jkms.2012.27.6.704. Epub 2012 May 26.