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タイトル: | Foleyカテーテル長期留置に伴い発生した巨大膀胱尿道結石の1例 |
その他のタイトル: | A Case of Large Vesicourethral Stone Resulting from Long-Term Retention of a Foley Catheter |
著者: | 堀, 靖英 平林, 淳 黒松, 功 |
著者名の別形: | Hori, Yasuhide Hirabayashi, Atsushi Kuromatsu, Isao |
キーワード: | Bladder stone Iatrogenic Bladder foreign body |
発行日: | May-2010 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 56 |
号: | 5 |
開始ページ: | 273 |
終了ページ: | 275 |
抄録: | We report a case of a large vesicourethral stone resulting from a long-term indwelling urethral catheter. A 66-year-old man visited our hospital emergency room on October 24, 2006 with a chief complaint of difficult urination. Although a urethral catheter was inserted temporarily based on the diagnosis of the doctor on duty, the patient did not return to our hospital for follow-up examination. On July 10, 2008, he was wheeled into our hospital with symptoms of general fatigue, urinary retention and post-renal failure due to urethral catheter obstruction. The catheter was undisturbed, and computed tomography revealed a large bladder stone that extended along the lines of the catheter. A cystostomy was established, and after renal function had recovered, the bladder stone was completely removed via laparotomy following the transurethral approach. The stone consisted of magnesium ammonium phosphate and calcium phosphate. It was concluded that the stone was closely related to a urinary tract infection caused by a Proteus strain. We discuss this unusual case, which is characterized by the stone size and the clinical course. |
著作権等: | 許諾条件により本文は2011-06-01に公開 |
URI: | http://hdl.handle.net/2433/120323 |
PubMed ID: | 20519926 |
出現コレクション: | Vol.56 No.5 |
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