BACKGROUND Genitourinary(GU)schistosomiasis is a chronic infection caused by a parasitic trematode,with Schistosoma haematobium(S.haematobium)being the prevalent species.The disease has a variable prevalence around th...BACKGROUND Genitourinary(GU)schistosomiasis is a chronic infection caused by a parasitic trematode,with Schistosoma haematobium(S.haematobium)being the prevalent species.The disease has a variable prevalence around the world,with a greater burden on,but not limited to Africa,South America,Asia,and the Middle East.CASE SUMMARY We report the case of a 30-year-old man who presented with symptoms of bladder stones.During endoscopic cystolithalopaxy,we did not detect any stones in the bladder.Upon careful scanning of the urinary bladder trigone,sandy patches were detected.We performed endoscopic resection,which revealed a closed diverticulum with bladder stones.The diverticular wall was sent for histopathology and revealed features of chronic granulomatous inflammation with numerous embedded Schistosoma eggs,with some of the eggs having lateral spines.The patient was treated with praziquantel,and his symptoms completely resolved.CONCLUSION GU schistosomiasis is primarily caused by S.haematobium.However,Schistosoma mansoni mediated GU schistosomiasis is unusual,making this a quite interesting case.展开更多
This case report is about a 61 years old woman who consulted for hematuria, the cystoscopy performed revealed an intra-diverticular bladder tumor. After tumor resection, an anatomopathological exam revealed the urothe...This case report is about a 61 years old woman who consulted for hematuria, the cystoscopy performed revealed an intra-diverticular bladder tumor. After tumor resection, an anatomopathological exam revealed the urothelial carcinoma pT1. A few months later she presented with a local reccurence of bladder tumor. We proposed her anterior pelvectomy but she refused it and she was lost to follow-up. The aim of this study is to show the anatomopathological and evolutionary characteristics and the therapeutic difficulties of IDBT. These tumors are in the majority of cases infiltrating from the outset with a high potential for recurrence after transurethral resection of bladder (TURB). The standard treatments are TURB and total cystectomy.展开更多
目的总结腹腔镜下膀胱部分切除术治疗膀胱憩室临床疗效并探讨其应用价值。方法回顾性分析2014年1月~2015年10月我科5例腹腔镜下膀胱部分切除术病例,4例行经尿道前列腺剜除术+腹腔镜下膀胱部分切除术,1例行经尿道膀胱颈切开术+腹腔镜下...目的总结腹腔镜下膀胱部分切除术治疗膀胱憩室临床疗效并探讨其应用价值。方法回顾性分析2014年1月~2015年10月我科5例腹腔镜下膀胱部分切除术病例,4例行经尿道前列腺剜除术+腹腔镜下膀胱部分切除术,1例行经尿道膀胱颈切开术+腹腔镜下膀胱部分切除术。结果 5例患者手术均成功,平均手术时间140±23.7 min,平均出血量65±15.2 m L,无需输血,术中、术后未出现严重并发症,术后2~3d拔除引流管,平均住院时间7.4±1.1d。结论对于膀胱出口梗阻合并膀胱憩室病例,行经尿道电切术+腹腔镜下膀胱部分切除术,具有创伤小、出血少、恢复快、并发症少、住院时间短等优点,是微创治疗膀胱憩室安全、可行的手术方法。展开更多
文摘BACKGROUND Genitourinary(GU)schistosomiasis is a chronic infection caused by a parasitic trematode,with Schistosoma haematobium(S.haematobium)being the prevalent species.The disease has a variable prevalence around the world,with a greater burden on,but not limited to Africa,South America,Asia,and the Middle East.CASE SUMMARY We report the case of a 30-year-old man who presented with symptoms of bladder stones.During endoscopic cystolithalopaxy,we did not detect any stones in the bladder.Upon careful scanning of the urinary bladder trigone,sandy patches were detected.We performed endoscopic resection,which revealed a closed diverticulum with bladder stones.The diverticular wall was sent for histopathology and revealed features of chronic granulomatous inflammation with numerous embedded Schistosoma eggs,with some of the eggs having lateral spines.The patient was treated with praziquantel,and his symptoms completely resolved.CONCLUSION GU schistosomiasis is primarily caused by S.haematobium.However,Schistosoma mansoni mediated GU schistosomiasis is unusual,making this a quite interesting case.
文摘This case report is about a 61 years old woman who consulted for hematuria, the cystoscopy performed revealed an intra-diverticular bladder tumor. After tumor resection, an anatomopathological exam revealed the urothelial carcinoma pT1. A few months later she presented with a local reccurence of bladder tumor. We proposed her anterior pelvectomy but she refused it and she was lost to follow-up. The aim of this study is to show the anatomopathological and evolutionary characteristics and the therapeutic difficulties of IDBT. These tumors are in the majority of cases infiltrating from the outset with a high potential for recurrence after transurethral resection of bladder (TURB). The standard treatments are TURB and total cystectomy.
文摘目的总结腹腔镜下膀胱部分切除术治疗膀胱憩室临床疗效并探讨其应用价值。方法回顾性分析2014年1月~2015年10月我科5例腹腔镜下膀胱部分切除术病例,4例行经尿道前列腺剜除术+腹腔镜下膀胱部分切除术,1例行经尿道膀胱颈切开术+腹腔镜下膀胱部分切除术。结果 5例患者手术均成功,平均手术时间140±23.7 min,平均出血量65±15.2 m L,无需输血,术中、术后未出现严重并发症,术后2~3d拔除引流管,平均住院时间7.4±1.1d。结论对于膀胱出口梗阻合并膀胱憩室病例,行经尿道电切术+腹腔镜下膀胱部分切除术,具有创伤小、出血少、恢复快、并发症少、住院时间短等优点,是微创治疗膀胱憩室安全、可行的手术方法。
