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タイトル: | 鼠径ヘルニア修復用メッシュが膀胱内に迷入した1例 |
その他のタイトル: | A Case of Intravesical Foreign Body by Erosion of Surgical Mesh Used for an Inguinal Hernia Repair |
著者: | 飯田, 孝太 星山, 文明 田中, 雅博 藤本, 清秀 |
著者名の別形: | Iida, Kota Hoshiyama, Fumiaki Tanaka, Masahiro Fujimoto, Kiyohide |
キーワード: | Intravesical foreign body Surgical mesh used for an inguinal hernia repair |
発行日: | 31-Oct-2017 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 63 |
号: | 10 |
開始ページ: | 421 |
終了ページ: | 425 |
抄録: | We report our experience with a case in which eroded mesh used for inguinal hernia repair migrated into the bladder. An 84-year-old man underwent surgery for colorectal cancer at the age of 40, and radical surgery for a right inguinal hernia at the age of 83. At his initial visit, he reported macroscopic hematuria. Cystoscopy revealed a yellowish-brown foreign body on the right bladder wall, and computed tomography showed the presence of emphysema in association with the foreign body. Based on a presumptive diagnosis of vesical calculi, transurethral lithotripsy was performed. However, the foreign body was strongly adherent to the bladder wall ; when lithotripsy was attempted, the calcified surface of the foreign body detached, and the exposed surface showed a mesh-like structure. Transurethral extraction was judged impossible ; therefore, laparotomy was performed at a later date to remove the foreign body, with en bloc resection including some of the bladder. The foreign body consisted of a surgical mesh that had been used for inguinal hernia repair. With the spread of surgery using surgical mesh, we should be careful about complications. |
著作権等: | 許諾条件により本文は2018/11/01に公開 |
DOI: | 10.14989/ActaUrolJap_63_10_421 |
URI: | http://hdl.handle.net/2433/227799 |
PubMed ID: | 29103256 |
出現コレクション: | Vol.63 No.10 |
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