肠道组织瘤被误认为是膀石:一个案例报告
Jonaviva Anthony Thomas1, Bartholomeo Nicholaus Ngowi1,2, Janeth Mpelumbe1,2
1Department of Urology, Faculty of Medicine Kilimanjaro Christian Medical University College Moshi Tanzania.
Clinical case reports
|June 12, 2023
概括
膀手术的罕见并发症 - - 肠道质瘤,可引起尿路症状. 在有膀手术史和持续性尿路问题的患者中怀疑这种带残留物.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术并发症 手术并发症
- 医疗成像医学成像
背景情况:
- 肠道组织瘤是一种罕见但显著的手术并发症.
- 它经常表现为非特异性的下泌尿道症状.
- 膀或前列腺手术的病史是一个关键的危险因素.
研究的目的:
- 为了突出体内组织瘤的诊断挑战.
- 强调在有膀手术史的患者中考虑织瘤的重要性.
主要方法:
- 一个72岁的男性的病例介绍,前科是前列腺切除术.
- 诊断工作包括评估下尿路症状和膀结石.
- 手术探索揭示了静脉内织瘤 (保留的布).
主要成果:
- 患者出现了下尿路症状.
- 最初的诊断表明膀结石.
- 探索性腹腔切除术证实了膀内存在一个半化的带 (质瘤).
结论:
- 对于有膀手术史且表现出持续性或新发性尿路症状的患者,在差异诊断中应考虑肠道瘤.
- 在类似的临床场景中,高度的怀疑指数是合理的.
- 早期识别和管理对于预防潜在并发症至关重要.
相关概念视频
Urinary Tract Calculi VI: Surgical Management
11
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
11
Urinary Tract Calculi III: Medical Management
9
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
9
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
16
Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
16
Urinary Tract Calculi I: Introduction
19
Renal calculi, or kidney stones, are solid deposits of minerals and salts formed inside the kidneys. In medical terminology, "calculus" refers to the stone itself, while "lithiasis" describes the process of stone formation. Depending on their location within the urinary system, these stones may be classified as either urolithiasis, when situated within the urinary tract, or nephrolithiasis, when located within the kidneys. Each term signifies the specific impact of the stone.Predisposition...
19
Urinary Tract Calculi V: Nursing Management
14
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
14
Imaging Studies VI: Voiding Cystourethrography and Cystography
37
Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
37


