偶然发现一个不合法的管道计算:一个案例报告
Colby Kihara1, Arsh N Patel1, Katie Oakley2
1Research, Alabama College of Osteopathic Medicine, Dothan, USA.
Cureus
|September 11, 2023
概括
排尿管结石是尿路转移手术后的罕见并发症. 这一案例突出了一个没有引起任何症状的大石头,强调需要提高意识和早期检测.
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
- 脏石病是一种神经质病.
背景情况:
- 激进的囊切除术往往需要尿路转移,以阴道管作为一种常见的方法.
- 状管道石块代表了这个程序的潜在并发症,尽管不常见.
- 由于呈现变化和影响因素,如石头特征和患者的BMI等因素,对状管道石头的管理可能是复杂的.
研究的目的:
- 报告一个独特的案例,一个大型的皮质管道石头.
- 为了强调在阴道管道中无症状结石形成的可能性.
- 提高对这种罕见并发症的认识,以改善早期干预.
主要方法:
- 一个91岁的男性病例报告,有生殖尿道癌和阴道癌的病史.
- 呈现出最初归因于胆结石的症状,导致探索性腹腔切除术.
- 诊断出内部和卷积,偶尔发现一个大的阴道管石头.
主要成果:
- 在患者的阴道中发现了一块3.3厘米长的石头.
- 状管石不是导致患者小肠阻塞的原因.
- 患者的肠道阻塞被归因于内部和卷积.
结论:
- 乳腺管道结石形成是一种不常见的并发症.
- 有可能出现无症状的阴道管结石.
- 提高临床意识可能有助于更早的诊断和更好的患者结果.
相关概念视频
Urinary Tract Calculi I: Introduction
16
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...
16
Inflammatory Bowel Disease V: Surgical Management
167
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
167
Urinary Tract Calculi VI: Surgical Management
10
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...
10
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
13
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...
13
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 V: Nursing Management
13
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...
13


