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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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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. |
format | Online Article Text |
id | pubmed-9977997 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
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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