Oliver Llinares F J, de Diego García E, Blanco Brunet J L, Cruz Benavides C, Yáñez Angulo J M
Unidad de Urología Pediátrica, Hospital de Cruces, Baracaldo, Vizcaya, España.
Arch Esp Urol. 1995 Oct;48(8):847-8.
Bladder foreign bodies can arise from many factors and are iatrogenic in a high percentage. A case of intravesical foreign body from accumulated fragments of synthetic gum utilized to protect the ureterostomy is described. These problems can be avoided by correct management of the osteotomy and must therefore be emphasized to those responsible for the patient's care.
METHODS/RESULTS: A case of a 7-year-old patient with chronic nephropathy and a bilateral high-loop ureterostomy is described. The migration and subsequent condensation of small fragments of the material protecting the ureterostomy led to the formation of a foreign body which took the shape of the bladder. Treatment was by vesicostomy.
The possible complications arising from the passage of objects from outside into the urinary tract should always be taken into account in patients with an external urinary diversion.
膀胱异物可由多种因素引起，其中医源性因素占比很高。本文描述了一例因用于保护输尿管造口术的合成胶碎片堆积而形成膀胱内异物的病例。通过正确处理截骨术可避免这些问题，因此必须向负责患者护理的人员强调这一点。
方法/结果：本文描述了一例7岁慢性肾病患者，其接受了双侧高位输尿管造口术。保护输尿管造口术的材料小碎片发生迁移并随后凝结，形成了呈膀胱形状的异物。治疗方法为膀胱造口术。
对于有体外尿路改道的患者，应始终考虑到异物从体外进入尿路可能引发的并发症。
