当尿道滑动时:一种罕见的宫外尿道-沟的病例及其临床影响
Vikram Prabha1, Sanhitha Purushotham1
1Department of Urology, KLES Dr. Prabhakar Kore Hospital & MRC, Belagavi, 590010, India.
Urology case reports
|April 16, 2025
概括
一种罕见的先天性异常,涉及双重收藏系统和宫外泌尿器,导致61岁男性的 inguinal 胀和复发性 epididymitis. 腹腔镜手术成功地治疗了这种复杂的尿路问题.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 遗传异常是一种先天性异常.
- 手术病例报告 手术病例报告
背景情况:
- 双重收藏系统和宫外尿道是不常见的先天性尿路异常.
- 这些异常可以呈现出各种,有时是非特异性的症状,使诊断复杂化.
研究的目的:
- 报告一个单一的尿道-沟的病例,其中包含带有结石的异位尿道.
- 描述这种复杂的先天性异常的成功腹腔镜治疗.
主要方法:
- 一名61岁的男性出现左 inguinal 胀,复发性 epididymo-orchitis 和下泌尿道症状 (LUTS).
- 计算机断层扫描 (CT) 确定了一种双重收集系统,其中一个异位尿管终结在 inguinal 区域,包含多个 calculi.
- 患者接受了腹腔镜外泌尿器切除术和 inguinal 的修复.
主要成果:
- CT扫描证实了双重收集系统,外阴尿管充满了结石,呈现为尿道-沟.
- 腹腔镜外阴尿切除术和 inguinal Hernia 修复成功进行.
结论:
- 这种病例突显出一种罕见的尿道-沟的呈现,其中一个异位尿道含有石块作为其内容.
- laparoscopic 管理是复杂的先天性尿路异常的有效方法,如所述的一种.
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