巨大膀胱憩室合并腹股沟膀胱疝1例报告并文献复习  

Giant bladder diverticulum with inguinal bladder hernia:a case report and literature review

作　　者：李杰 常远 杨永金 何自航 马冲[1] LI Jie;CHANG Yuan;YANG Yongjin;HE Zihang;MA Chong(Department of General Surgery,China-Japan Union Hospital of Jilin University,Changchun 130000,China;Department of Urology,Second Hospital of Lanzhou University,Lanzhou 730000,China)

机构地区：[1]吉林大学中日联谊医院普外科,吉林长春130000 [2]兰州大学第二医院泌尿外科,甘肃兰州730000

出　　处：《现代泌尿外科杂志》2022年第7期582-584,共3页Journal of Modern Urology

摘　　要：目的报告1例巨大膀胱憩室合并腹股沟膀胱疝患者的临床资料,并结合相关文献分析该病的临床特点及诊疗方法,以提高临床医师对该病的认知。方法患者男性,58岁,因反复腹胀、餐后加重半年余,左下肢肿胀不适2 d入院。完善相关检查后主要诊断为膀胱憩室合并腹股沟膀胱疝,开腹行膀胱憩室切除术+腹股沟疝修补术+胆囊切除术+胆总管探查取石T管引流术+肝血管瘤切除术,术后病理符合膀胱憩室改变。结果本例患者手术顺利,术后无腹胀,排尿情况好转,左下肢肿胀消退,出院后2个月于外院行经尿道前列腺电切术。结论膀胱憩室的临床表现较为隐匿,对腹部肿块且有尿路梗阻症状的患者可将膀胱憩室纳入鉴别诊断。及时解除梗阻和憩室切除术是巨大膀胱憩室有效的治疗手段。Objective To analyze the clinical characteristics,diagnosis and treatment of giant bladder diverticulum with inguinal bladder hernia so as to improve clinicians awareness of the disease.Methods A 58-year-old male patient was admitted due to repeated abdominal distension,which worsened after eating for more than 6 months,and left lower extremity swel-ling and discomfort for 2 days.The diagnosis was bladder diverticulum with inguinal bladder hernia.Surgery was performed,including laparotomy bladder diverticulectomy+inguinal hernia repair+cholecystectomy+common bile duct exploration and stone extraction+T-tube drainage+hepatic hemangioma resection.Postoperative pathology confirmed the diagnosis.Results The operation was successful.No abdominal distension occurred,urination was improved,and the swelling of the left lower extremity subsided.Transurethral resection of the prostate was conducted 2 months after discharge in another hospital.Conclusion The clinical manifestations of bladder diverticulum are relatively insidious,and bladder diverticulum should be differentiated from abdominal mass and urinary tract obstruction.Timely relief of obstruction and diverticulectomy are effective treatment.

关 键 词：膀胱憩室 腹股沟膀胱疝 腹部肿块 计算机断层扫描 

分 类 号：R694[医药卫生—泌尿科学]