儿科患者巨型膀结石和直肠脱落并发症:病例报告和文献综述
Agung Hidayatulloh1, Alif Firman Firdausy2, Muhammad H Mahyuddin3
1Department of Emergency Room, Sakinah Islamic Hospital, Mojokerto, Perumahan Japan Raya Tahap 3 Blok TT No. 17 Japan, Sooko, Mojokerto 61361, East Java, Indonesia.
International journal of surgery case reports
|September 26, 2023
概括
一个罕见的巨型膀结石 (BS) 病例在一个一岁的男孩中因直肠而复杂,成功治疗. 该研究强调了儿科膀结石的多因素原因及其管理.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 尿病研究研究 尿病研究
- 胃肠道并发症 胃肠道并发症
背景情况:
- 巨型膀结石 (BS) 在儿科患者中异常罕见.
- 这个病例提出了一个独特的挑战,涉及一个儿科患者,他患有膀和尿道结石,以及直肠.
- 儿科尿病需要仔细考虑石头的组成和潜在的并发症.
研究的目的:
- 为了记录和分析一个罕见的儿科病例巨型膀和尿道结石与直肠脱落.
- 为了研究小儿病患者的石头组成和病变发生.
- 突出复杂的儿科尿病的诊断和管理策略.
主要方法:
- 一个一岁的男孩出现了尿路阻塞和暗示直肠缩的症状.
- 诊断工作包括实验室检查,腹部放射和超声波,揭示了巨大的膀结石和水.
- 手术涉及囊石切除和手动减少直肠.
主要成果:
- 一个巨大的膀石 (30 × 21 × 15毫米),由57%的尿酸和33%的酸盐组成,被移除.
- 同时存在的尿道结石也被确定并移除.
- 患者的直肠脱落在术后得到解决,没有复发.
结论:
- 儿科膀结石是多因素的,受局部和系统因素的影响.
- 早期诊断和彻底的病史对于有效管理儿科尿病至关重要.
- 膀结石的管理决策应考虑其大小,组成和呈现症状.
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