PDF(Pubmed)
Abstract：
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.
摘要：
膀胱结石约占所有尿石症病例的5％，通常在引起不可逆的肾损伤之前很久就被识别和管理。我们介绍了一例40多岁的男子，有腹部枪伤的病史，该男子从先前已治愈的耻骨上导管中出现渗漏，并被发现患有巨大的膀胱结石并导致肾损伤。随后，他在住院期间进行了开放性膀胱切开取石术和膀胱皮肤瘘切开术，这有助于改善他的肾功能。除了很少报道膀胱结石>10厘米的病例外，这代表了文献中有关通过血管道的相关减压“pop-off”机制的第一份报告。
