希尔施普朗相关克罗恩病的泌尿系统并发症:一个病例报告
Kartika Anastasia Kosasih1, Saut Horas Hatoguan Nababan, Andrian Setiabakti
1Department of Internal Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia. kartika.anastasia.2107@gmail.com.
这种病例突出了一个患有赫施普隆病 (HSCR) 和克罗恩病 (CD) 的男性患者,由于尿管阻塞和水,他患有复发性尿路感染 (UTI).
科学领域:
- 胃肠病学 胃肠病学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 遗传性疾病 遗传性疾病
背景情况:
- 赫施普隆病 (HSCR) 是一种先天性肠道疾病.
- 患有HSCR的患者有炎症性肠病 (IBD) 的风险增加,特别是克罗恩病 (CD).
- 泌尿学并发症,包括水和复发性尿路感染,影响IBD患者的4-23% .
研究的目的:
- 报告一个患有HSCR和CD并出现复发性尿路感染的患者的临床病例.
- 提高对这种患者群体潜在的泌尿病并发症的认识.
- 强调怀疑男性IBD患者泌尿病问题的重要性.
主要方法:
- 一个26岁的男性患有HSCR和多次手术的病例报告.
- 在3个月内复发性尿路感染的临床表现.
- 诊断评估包括腹部MRI与对比.
主要成果:
- 该患者出现了复发性尿路感染和双边水.
- 腹部MRI显示直肠壁加厚和纤维化导致双边尿管狭窄.
- 这种解剖变化导致观察到的泌尿病并发症.
结论:
- 复发性尿路感染可能是HSCR的CD患者泌尿症并发症的呈现症状.
- 泌尿学评估对于有HSCR病史的IBD患者至关重要.
- 早期识别和治疗这些并发症至关重要.
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