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A giant neobladder stone with insignificant symptoms: A case report and literature review

BACKGROUND: Giant neobladder lithiasis after orthotopic bladder replacement is an infrequent but important long-term complication, which should be diagnosed and treated early. If left untreated, it may eventually lead to irreversible acute kidney injury and seriously affect the quality of life of pa...

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Autores principales: Gu, Jun, He, Zexi, Li, Haihao, Liu, Yijie, Wang, Haifeng, Huang, Yinglong, Ding, Mingxia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9977997/
https://www.ncbi.nlm.nih.gov/pubmed/36874453
http://dx.doi.org/10.3389/fsurg.2023.1105146
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author Gu, Jun
He, Zexi
Li, Haihao
Liu, Yijie
Wang, Haifeng
Huang, Yinglong
Ding, Mingxia
author_facet Gu, Jun
He, Zexi
Li, Haihao
Liu, Yijie
Wang, Haifeng
Huang, Yinglong
Ding, Mingxia
author_sort Gu, Jun
collection PubMed
description BACKGROUND: Giant neobladder lithiasis after orthotopic bladder replacement is an infrequent but important long-term complication, which should be diagnosed and treated early. If left untreated, it may eventually lead to irreversible acute kidney injury and seriously affect the quality of life of patients. Here, we present a rare case of a patient who presented with a massive neobladder stone after radical cystectomy done with orthotopic neobladder construction, followed by a challenging stone extraction process. CASE PRESENTATION: A 70-year-old female patient presented with a massive neobladder stone 14 years after radical cystectomy done with orthotopic neobladder construction. A computed tomography scan showed a large elliptic stone. The patient underwent suprapubic cystolithotomy surgery, which removed her giant-sized stone in the neobladder. The size of the bladder stone that was removed was 13 cm × 11.5 cm × 9 cm, with a total weight of 903 g. To date, the follow-up time of treatment is 4 months, and in our patient, no pain, urinary tract infections, or other abnormalities suggestive of fistula were found. CONCLUSION: Imaging examination is useful for detecting neobladder lithiasis occurring after orthotopic neobladder construction. Our experience demonstrates that open cystolithotomy is an appropriate therapeutic method for treating the late-stage complication of a giant neobladder stone.
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spelling pubmed-99779972023-03-03 A giant neobladder stone with insignificant symptoms: A case report and literature review Gu, Jun He, Zexi Li, Haihao Liu, Yijie Wang, Haifeng Huang, Yinglong Ding, Mingxia Front Surg Surgery BACKGROUND: Giant neobladder lithiasis after orthotopic bladder replacement is an infrequent but important long-term complication, which should be diagnosed and treated early. If left untreated, it may eventually lead to irreversible acute kidney injury and seriously affect the quality of life of patients. Here, we present a rare case of a patient who presented with a massive neobladder stone after radical cystectomy done with orthotopic neobladder construction, followed by a challenging stone extraction process. CASE PRESENTATION: A 70-year-old female patient presented with a massive neobladder stone 14 years after radical cystectomy done with orthotopic neobladder construction. A computed tomography scan showed a large elliptic stone. The patient underwent suprapubic cystolithotomy surgery, which removed her giant-sized stone in the neobladder. The size of the bladder stone that was removed was 13 cm × 11.5 cm × 9 cm, with a total weight of 903 g. To date, the follow-up time of treatment is 4 months, and in our patient, no pain, urinary tract infections, or other abnormalities suggestive of fistula were found. CONCLUSION: Imaging examination is useful for detecting neobladder lithiasis occurring after orthotopic neobladder construction. Our experience demonstrates that open cystolithotomy is an appropriate therapeutic method for treating the late-stage complication of a giant neobladder stone. Frontiers Media S.A. 2023-02-16 /pmc/articles/PMC9977997/ /pubmed/36874453 http://dx.doi.org/10.3389/fsurg.2023.1105146 Text en © 2023 Gu, He, Li, Liu, Wang, Huang and Ding. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Gu, Jun
He, Zexi
Li, Haihao
Liu, Yijie
Wang, Haifeng
Huang, Yinglong
Ding, Mingxia
A giant neobladder stone with insignificant symptoms: A case report and literature review
title A giant neobladder stone with insignificant symptoms: A case report and literature review
title_full A giant neobladder stone with insignificant symptoms: A case report and literature review
title_fullStr A giant neobladder stone with insignificant symptoms: A case report and literature review
title_full_unstemmed A giant neobladder stone with insignificant symptoms: A case report and literature review
title_short A giant neobladder stone with insignificant symptoms: A case report and literature review
title_sort giant neobladder stone with insignificant symptoms: a case report and literature review
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9977997/
https://www.ncbi.nlm.nih.gov/pubmed/36874453
http://dx.doi.org/10.3389/fsurg.2023.1105146
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