被忽视的双J支架呈现为巨大的膀和尿道结石:一个病例报告
Muhammad Fachri Fauzi1, Tarmono Djojodimedjo1, Johan Renaldo1
1Department of Urology, Dr. Soetomo Hospital, Faculty of Medicine, Airlangga University, Surabaya, Indonesia.
Radiology case reports
|September 12, 2024
概括
被忽视的双J (DJ) 支架可以导致严重的和巨大的石头. 这一案例凸显了患者合规性和医疗保健提供者咨询的重要性,以防止DJ支架并发症.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學.
- 内分泌病学 在内分泌病学.
背景情况:
- 双J (DJ) 支架对于管理尿管阻塞至关重要.
- 被忽视的DJ支架可能会导致严重的并发症,包括层和石头形成.
- 不充分的患者咨询和遵守是干支疏忽的主要原因.
研究的目的:
- 报告一个罕见的DJ支架被忽视导致巨型膀和尿道结石的罕见病例.
- 为了强调与嵌的,被忽视的DJ支架相关的挑战.
- 讨论与DJ支架相关的复杂计算的管理.
主要方法:
- 一名35岁的男性出现了尿路阻塞和泄漏的症状.
- 先进的成像揭示了尿管石,水,水尿管和与3岁的DJ支架相关的大型膀石.
- 治疗涉及左尿管透镜 (URS) 进行石头去除和囊泡透,然后进行第二次手术以消除残留的膀石头.
主要成果:
- 一个被忽视的DJ支架导致了巨大的膀石 (4.7×3.9×3.2厘米) 和左侧远部尿管石 (0.7×0.8×1.9厘米).
- 观察到显著的水和水尿.
- 通过URS和cystolitholapaxy,成功地切除了尿管石头,部分DJ支架和膀结石,并进行了剩余石头的二次手术.
结论:
- 尿路中的异物,如DJ支架,可以导致二次结石形成.
- 内镜治疗,包括URS和cystolitholapaxy,可以有效地同时治疗大膀结石和尿管结石.
- 预防DJ支架并发症需要全面的患者教育和医疗保健专业人员的勤奋后续护理.
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