A challenging case of a multiple large stones in enterocystoplasty: a case report.

IF 0.9 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pan African Medical Journal Pub Date : 2024-07-18 eCollection Date: 2024-01-01 DOI:10.11604/pamj.2024.48.116.43987
Youssef Kadouri, Jihad Lakssir, Adam Elaboudi, Hachem El Sayegh, Yassine Nouini
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Abstract

In recent years, the utilization of enterocystoplasty for bladder function enhancement has increased, albeit accompanied by risks such as stone formation, necessitating vigilant follow-up. We report a case of a 60-year-old female with a neobladder who presented with back pain, constipation, and pelvic heaviness, revealing multiple large stones in imaging. Stone analysis showed calcium oxalate and magnesium. Enterocystolithotomy was performed to manage the condition. Enterocystoplasty, a standard treatment for bladder cancer, can lead to stone formation due to factors like urinary stasis and infections. Giant stones are rare but require prompt treatment, often involving neocystolithotomy. Controlling risk factors and selecting appropriate treatment based on stone size and surgical expertise are key to improving patient outcomes.

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肠膀胱成形术中多发大结石的挑战性病例:病例报告。
近年来,利用肠膀胱成形术增强膀胱功能的患者越来越多,但同时也伴随着结石形成等风险,因此需要警惕随访。我们报告了一例 60 岁女性新膀胱患者的病例,患者出现背痛、便秘和骨盆沉重感,影像学检查发现多颗大结石。结石分析显示为草酸钙和镁。为控制病情,进行了肠膀胱结石切除术。肠膀胱成形术是治疗膀胱癌的标准方法,但由于尿液淤积和感染等因素,可能会导致结石形成。巨大结石很少见,但需要及时治疗,通常需要进行新膀胱结石切除术。控制风险因素并根据结石大小和手术专长选择适当的治疗方法是改善患者预后的关键。
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来源期刊
Pan African Medical Journal
Pan African Medical Journal PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
1.80
自引率
0.00%
发文量
691
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