医学
外科
瘘管切开术
瘘管
枪伤
泌尿系统
腹部
解剖
肛瘘
作者
B.M. Thomas,Tamir Sholklapper,Alex Nourian,Serge Ginzburg
出处
期刊:Case Reports
[BMJ]
日期:2024-04-01
卷期号:17 (4): e256204-e256204
标识
DOI:10.1136/bcr-2023-256204
摘要
Bladder stones represent approximately 5% of all cases of urolithiasis and are typically identified and managed long before causing irreversible renal injury. We present a case of a man in his 40s with a prior history of a gunshot wound to the abdomen who presented with leakage from a previously healed suprapubic tube tract and was found to have a giant bladder stone with a resulting renal injury. He subsequently underwent a combined open cystolithotomy and vesicocutaneous fistulotomy during his hospitalisation, which helped to improve his renal function. In addition to there being few reported cases of bladder stones >10 cm, this represents the first report in the literature of an associated decompressive ‘pop-off’ mechanism through a fistulised tract.
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