一个大的尿道囊呈现下游尿路症状,以及在膀扫描上虚假地升高的空白后残留物
Dana-Leigh Thiesfeldt1, Abhishek Seth1,2, Pamela Ellsworth1,2
1University of Central Florida College of Medicine, 6850 Lake Nona Blvd, Orlando, FL, 32827, USA.
Urology case reports
|January 31, 2024
概括
一个大的尿道囊可以模仿膀问题,导致虚假高的空虚后残留量 (PVR). 这一案例凸显了 urachal 异常如何呈现异常,影响诊断准确度.
科学领域:
- 胚胎学 胚胎学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗成像医学成像
背景情况:
- 尿道,一个连接胎儿膀和的胚胎残留物,通常在出生后关闭.
- 尿道囊是常见的先天性异常,通常无症状,但可能伴有疼痛和发烧.
- 先天性 urachal 异常可以导致各种临床表现.
研究的目的:
- 在一个年轻的男性中报告一个非典型的大型 urachal 囊的呈现.
- 为了说明 urachal 囊可能导致下泌尿道症状.
- 为了突出膀扫描仪确定后空余 (PVR) 容量的局限性,在 urachal 囊的存在.
主要方法:
- 一个年轻的男性患者的病例报告.
- 临床表现包括下尿路症状.
- 诊断成像和膀扫描仪评估.
主要成果:
- 患者出现了下尿路症状.
- 确定了一个大型的 urachal 囊.
- 膀扫描仪测量了空气后残留体积 (PVR) 的数量,结果是错误地增加了.
- 确定 urachal 囊是异常呈现的原因.
结论:
- 大型尿道囊可以不典型地呈现下尿路症状.
- 膀扫描仪的PVR测量在有 urachal 囊的情况下可能不可靠.
- 在分泌症状和不准确的PVR发现的差异诊断中,考虑尿道异常至关重要.
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