Case Report
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MULTIPLE BLADDER STONES AND SEVERE URETHRAL INJURY IN A PATIENT WITH ACUTE ABDOMEN: A CASE REPORT

Year 2023, Volume: 86 Issue: 3, 268 - 271, 26.10.2023
https://doi.org/10.26650/IUITFD.1248531

Abstract

Bladder stones are very common in the elderly population with lower urinary tract obstruction, and they are associated with adverse outcomes such as recurrent infections and lower urinary tract obstruction. Managing bladder stones has traditionally been done using open procedures such as a cystolithotomy or endoscopic removal. The objective of the study is to present a rare case of multiple bladder stones in a surgical emergency where urinary diversion was mandatory, as endoscopic manipulation appeared impossible—for an 85-year-old man who presented with acute abdomen symptoms, hemodynamically unstable severe urethral injury, and multiple bladder stones. Abdominopelvic non-contrast computerized tomography (NCCT) showed free fluid in the abdomen, gas in the bladder, and numerous bladder stones. Emergency surgery was performed on the patient, and the preexisting perforated stomach ulcer was surgically reconstructed. For urinary diversion, the decision was made to perform open cystolithotomy to eliminate more than 84 bladder stones of different shapes and sizes. We placed a urinary catheter using a Benique bougie and performed the cystostomy to open a second route.

Supporting Institution

General Hospital Cuprija, Ser

References

  • Schwartz B, Stoller M. The vesical calculus. Urol Clin North AM 2000;27(2):333-46. [CrossRef] google scholar
  • Ahmed F, Alyhari Q, Al-wageeh S, Mohammed F. Giant urinary bladder calculi in a 60-year-old man: a case report. Pan Afr Med J 2022;41:78. google scholar
  • Takasaki E, Suzuki T, Honda M, Imai T, Maeda S, Hosoya Y. Chemical compositions of 300 lower urinary tract calculi and associated disorders in the urinary tract. Urol Int 1995;54(2):89-94. [CrossRef] google scholar
  • Palminteri, E, Berdondini E, Verze P, De Nunzio C, Vitarelli A, Carmignani L. Contemporary urethral stricture characteristics in the developed world. Urology 2013;81(1):191-6 [CrossRef] google scholar
  • Kashefi C, Messer K, Bardon R, Sexton C, Parsons JK. Incidence and prevention of iatrogenic urethral injuries. J Urol 2008 179(6):2254-8. [CrossRef] google scholar
  • Davis NF, Quinlan MR, Bhatt NR, Browne C, Mac Craith C, Manecksha R, et al. Incidence, cost, complications and clinical outcomes of iatrogenic urethral catheterization injuries: A prospective multi-institutional study. J Urol 2016;196(5):1473-7. [CrossRef] google scholar
  • Chapple CR. Urethral injury. BJU Int. 2000 ;86(3):318-26 [CrossRef] google scholar
  • Brandes S. Initial management of anterior and posterior urethral injuries. Urol Clin North Am 2006;33(1):87-95. [CrossRef] google scholar
  • Schraufnagel D, Rajaee S, Millham FH. How many sunsets? Timing of surgery in adhesive small bowel obstruction: a study of the Nationwide Inpatient Sample. J Trauma Acute Care Surg 2013 74(1):181-9. [CrossRef] google scholar
  • Mundy A R, Andrich EA. Urethral trauma. Part I: introduction, history, anatomy, pathology, assessment and emergency management. BJU Int 2011;108(3):310-27. [CrossRef] google scholar
  • Mundy AR, Andrich EA. Urethral trauma. Part II: introduction, history, anatomy, pathology, assessment and emergency management. BJU Int 2011;108(5):630-50. [CrossRef] google scholar
  • Tikkinen K, Craigie S, Agarwal A, Siemieniuk A, Cartwright R, Violette P, et al. Procedure-specific risks of thrombosis and bleeding in urological non-cancer surgery: systematic review and meta-analysis. Eur Urol 2018;73(2):236-41. [CrossRef] google scholar
  • Brandes, S. Initial management of anterior and posterior urethral injuries. Urol Clin North Am 2006;33(1):87-95. [CrossRef] google scholar

AKUT KARIN TABLOSUNDAKİ BİR HASTADA ÇOKLU MESANE TAŞLARI VE AĞIR ÜRETRA YARALANMASI, OLGU SUNUMU

Year 2023, Volume: 86 Issue: 3, 268 - 271, 26.10.2023
https://doi.org/10.26650/IUITFD.1248531

Abstract

Mesane taşları, alt üriner sistem obstrüksiyonu olan yaşlı popülasyonda çok yaygındır ve tekrarlayan enfeksiyonlar ve alt üriner sistem obstrüksiyonu gibi olumsuz sonuçlarla ilişkilidir. Mesane taşlarının yönetimi geleneksel olarak sistolitotomi gibi açık tekniklerle veya endoskopik olarak çıkarılmasıyla yapılmaktadır. Çalışmanın amacı, çoklu mesane taşı olan ve endoskopik manüpulasyon yapılamadığndan üriner diversiyon yapılması için acil cerrahi müdahale gerektiren nadir bir olgununun sunulmasıdır. Akut abdominal bulguları olan 85 yaşındaki erkek olgunun hemodinamik olarak stabil olmayan ağır üretral hasarı bulunmaktaydı. Abdominopelvik kontrastsız bilgisayarlı tomografide (NCCT) batında serbest sıvı, mesanede gaz ve çok sayıda mesane taşı görüldü. Acil cerrahiye alınan hastanın önceden var olan ve perfore olmuş mide ülserine müdahale yapıldı. Farklı şekil ve boyuttaki 84’den fazla taşın alınması için uygulanacak üriner diversiyonun açık sistolitotomi şeklinde yapılmasına karar verildi. Benique buji kullanılarak üriner kateter yerleştirildi ve ikinci bir yol açmak amacı ile sistostomi uygulandı.

References

  • Schwartz B, Stoller M. The vesical calculus. Urol Clin North AM 2000;27(2):333-46. [CrossRef] google scholar
  • Ahmed F, Alyhari Q, Al-wageeh S, Mohammed F. Giant urinary bladder calculi in a 60-year-old man: a case report. Pan Afr Med J 2022;41:78. google scholar
  • Takasaki E, Suzuki T, Honda M, Imai T, Maeda S, Hosoya Y. Chemical compositions of 300 lower urinary tract calculi and associated disorders in the urinary tract. Urol Int 1995;54(2):89-94. [CrossRef] google scholar
  • Palminteri, E, Berdondini E, Verze P, De Nunzio C, Vitarelli A, Carmignani L. Contemporary urethral stricture characteristics in the developed world. Urology 2013;81(1):191-6 [CrossRef] google scholar
  • Kashefi C, Messer K, Bardon R, Sexton C, Parsons JK. Incidence and prevention of iatrogenic urethral injuries. J Urol 2008 179(6):2254-8. [CrossRef] google scholar
  • Davis NF, Quinlan MR, Bhatt NR, Browne C, Mac Craith C, Manecksha R, et al. Incidence, cost, complications and clinical outcomes of iatrogenic urethral catheterization injuries: A prospective multi-institutional study. J Urol 2016;196(5):1473-7. [CrossRef] google scholar
  • Chapple CR. Urethral injury. BJU Int. 2000 ;86(3):318-26 [CrossRef] google scholar
  • Brandes S. Initial management of anterior and posterior urethral injuries. Urol Clin North Am 2006;33(1):87-95. [CrossRef] google scholar
  • Schraufnagel D, Rajaee S, Millham FH. How many sunsets? Timing of surgery in adhesive small bowel obstruction: a study of the Nationwide Inpatient Sample. J Trauma Acute Care Surg 2013 74(1):181-9. [CrossRef] google scholar
  • Mundy A R, Andrich EA. Urethral trauma. Part I: introduction, history, anatomy, pathology, assessment and emergency management. BJU Int 2011;108(3):310-27. [CrossRef] google scholar
  • Mundy AR, Andrich EA. Urethral trauma. Part II: introduction, history, anatomy, pathology, assessment and emergency management. BJU Int 2011;108(5):630-50. [CrossRef] google scholar
  • Tikkinen K, Craigie S, Agarwal A, Siemieniuk A, Cartwright R, Violette P, et al. Procedure-specific risks of thrombosis and bleeding in urological non-cancer surgery: systematic review and meta-analysis. Eur Urol 2018;73(2):236-41. [CrossRef] google scholar
  • Brandes, S. Initial management of anterior and posterior urethral injuries. Urol Clin North Am 2006;33(1):87-95. [CrossRef] google scholar
There are 13 citations in total.

Details

Primary Language English
Subjects Health Services and Systems (Other)
Journal Section Case Reports
Authors

Marko Tanic 0000-0002-5159-2128

Tomislav Basovic 0000-0003-1668-5377

Ivana Mitrovic Tanic 0000-0002-1580-2984

Tijana Joncic 0000-0002-8394-5370

Jelena Tomic 0000-0002-8394-5370

Andrej Veljkovic This is me 0000-0001-5950-7517

Publication Date October 26, 2023
Submission Date February 7, 2023
Published in Issue Year 2023 Volume: 86 Issue: 3

Cite

APA Tanic, M., Basovic, T., Mitrovic Tanic, I., Joncic, T., et al. (2023). MULTIPLE BLADDER STONES AND SEVERE URETHRAL INJURY IN A PATIENT WITH ACUTE ABDOMEN: A CASE REPORT. Journal of Istanbul Faculty of Medicine, 86(3), 268-271. https://doi.org/10.26650/IUITFD.1248531
AMA Tanic M, Basovic T, Mitrovic Tanic I, Joncic T, Tomic J, Veljkovic A. MULTIPLE BLADDER STONES AND SEVERE URETHRAL INJURY IN A PATIENT WITH ACUTE ABDOMEN: A CASE REPORT. İst Tıp Fak Derg. October 2023;86(3):268-271. doi:10.26650/IUITFD.1248531
Chicago Tanic, Marko, Tomislav Basovic, Ivana Mitrovic Tanic, Tijana Joncic, Jelena Tomic, and Andrej Veljkovic. “MULTIPLE BLADDER STONES AND SEVERE URETHRAL INJURY IN A PATIENT WITH ACUTE ABDOMEN: A CASE REPORT”. Journal of Istanbul Faculty of Medicine 86, no. 3 (October 2023): 268-71. https://doi.org/10.26650/IUITFD.1248531.
EndNote Tanic M, Basovic T, Mitrovic Tanic I, Joncic T, Tomic J, Veljkovic A (October 1, 2023) MULTIPLE BLADDER STONES AND SEVERE URETHRAL INJURY IN A PATIENT WITH ACUTE ABDOMEN: A CASE REPORT. Journal of Istanbul Faculty of Medicine 86 3 268–271.
IEEE M. Tanic, T. Basovic, I. Mitrovic Tanic, T. Joncic, J. Tomic, and A. Veljkovic, “MULTIPLE BLADDER STONES AND SEVERE URETHRAL INJURY IN A PATIENT WITH ACUTE ABDOMEN: A CASE REPORT”, İst Tıp Fak Derg, vol. 86, no. 3, pp. 268–271, 2023, doi: 10.26650/IUITFD.1248531.
ISNAD Tanic, Marko et al. “MULTIPLE BLADDER STONES AND SEVERE URETHRAL INJURY IN A PATIENT WITH ACUTE ABDOMEN: A CASE REPORT”. Journal of Istanbul Faculty of Medicine 86/3 (October 2023), 268-271. https://doi.org/10.26650/IUITFD.1248531.
JAMA Tanic M, Basovic T, Mitrovic Tanic I, Joncic T, Tomic J, Veljkovic A. MULTIPLE BLADDER STONES AND SEVERE URETHRAL INJURY IN A PATIENT WITH ACUTE ABDOMEN: A CASE REPORT. İst Tıp Fak Derg. 2023;86:268–271.
MLA Tanic, Marko et al. “MULTIPLE BLADDER STONES AND SEVERE URETHRAL INJURY IN A PATIENT WITH ACUTE ABDOMEN: A CASE REPORT”. Journal of Istanbul Faculty of Medicine, vol. 86, no. 3, 2023, pp. 268-71, doi:10.26650/IUITFD.1248531.
Vancouver Tanic M, Basovic T, Mitrovic Tanic I, Joncic T, Tomic J, Veljkovic A. MULTIPLE BLADDER STONES AND SEVERE URETHRAL INJURY IN A PATIENT WITH ACUTE ABDOMEN: A CASE REPORT. İst Tıp Fak Derg. 2023;86(3):268-71.

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