Öz
Kaynakça
- 1. Shattock SG. A prehistoric or predynastic Egyptian calculuc.Trans Pathol Soc Lond 1905;56:275.2. Schwartz BF, Stoller ML: The vesical calculus.Urol Clin North Am 2000;27(2):333-46. 3. Razvi HA, Song TY, Denstedt JD: Management of vesical calculi: Comparison of lithotripsy devices. J Endourol 1996; 10:559-63 4. .Kancha RK, Anasuya A. Contribution of vitamin A defici¬ency to calculogenic risk factors of urine: Studies in children. Biocem Med Metab Biol 1992;47:1- http://dx.doi.org/10.1016/0885-4505(92)90002-G5. Ali SH, Rifat UN. Etiological and geographical study on urolithiasis in Iraq. Pediatr Nephrol 2005;20:1453-1457. http://dx.doi.org/10.1007/s00467-005-1971-06. Benzhong J, Zhiping W, Changshi G. Fragment of pubis through the urinary bladder wall causing urinary bladder calculus. Urol Res 2012;40:181-183. http://dx.doi.org/10.1007/s00240-011-0396-47. Mahmoud M, Bassem SW. Bladder erosion of tension-free vaginal tape presente as vesical stone; management and revi¬ew of literature. Int Urol Nephrol 2007;39:453-455. http://dx.doi.org/10.1007/s11255-006-9080-y 8. Menon M, Bhalchondra GP, Drach GW. Urinary Lithiasis: Etiology, Diagnosis, and medical mena-gement . In: Walsh PC, Retik AB, Vaughan ED Jr, Wein AJ (Eds), Campbell’s Urology, 7th Ed., WB Saunders, Philadelphia, 1998, pp:2661-773. 9. Hammad FT, Kaya M, Kazim E. Bladder calculi: Did the clinical picture change? Urology 2006;67:1154-8. 10. Chen Y, DeVivo MJ, Lloyd LK. Bladder stone incidence in persons with spinal cord injury: De-terminants and trends, 1973-1996. Urology 2001;58:665-70. 11. Halil ÇİFTÇİ, Murat SAVAŞ: Dev mesane taşına bağlı tek taraflı hidronefroz. Türk Üroloji Dergisi 2008;34:261-263.12. Komori K, Iwasaki A, Ikegami M, Kajikawa J, Kishimoto T. Giant bladder stone hinyokika kiyo 2000;46:37-40.13. Sundaram CP, Houshiar AM, Reddy PK. Bladder stone caa¬using renal failure. Minn Med 1997;80:25-26. 14. Mosbah A, Krid M, Baccouche S: Transurethral bladder lithotripsy using the Lithoclastin children. Apropos of 7 cases. Prog Urol.1995, 5:79-8115. Goel MC, Baserge NS, Babu RV, et al: Pediatric kidney:Functional outcome after extracorporeal shock wave lithotripsy. J Urol. 1996, 155:2044-46 Guidelines on Benign 16. Torricelli FC, Mazzucchi E, Danilovic A, Coelho RF, Srougi M. Surgical management of bladder stones: literature review. Rev. Col. Bras. Cir. 2013;40:227-33.
AKUT BÖBREK YETMEZLİĞİNE NEDEN OLAN DEV MESANE TAŞI; BİR OLGU SUNUMU VE LİTERATÜRÜN GÖZDEN GEÇİRİLMESİ
Öz
Mesane
taşları, 50 yaş üstü erkeklerde daha sık görülmekle beraber tüm üriner sistem
taşlarının %5’ni oluşturmaktadır. Mesane taşları sıklıkla obstruktif
semptomları olan hastaların araştırılmaları sırasında insidental olarak
saptanır ve genelde hastaların şikayetleri dizüri ve hematüridir. Ayrıca dev
mesane taşları hidronefroza yol açabilir. Bundan dolayı üst üriner sistemin uygun görüntüleme yöntemleri ile
değerlendirilmesi ve böbrek fonksiyon testlerinin çalışılması gereklidir.
72 yaş erkek hasta, idrar yaparken
zorlanma ve kanama şikayeti ile polikliniğimize
başvurdu. Üriner sistem ultrasonunda (USG), bilateral böbrek toplayıcı
sistemde grade 2-3 dilatasyon
tespit edildi. Çekilen kontrastsız tüm abdomen ince kesit bilgisayarlı
tomografisinde mesaneyi dolduran 9,1x6,7x6 cm boyutlarında taş gözlendi.
Prostat boyutu 200 cc idi. Hastaya yatışının 6. Gününde açık
sistolitotomi operasyonu
uygulandı. Hastadan 10x7x6 cm’ lik, 270 gr ağırlığında taş ektrakte
edildi.
Bizim olgumuzda olduğu gibi mesane
taşlarının akut böbrek dilatasyonu yapması nadir görülür ve literatürde bu
yayın sınırlı sayıdadır. Patofizyolojik olarak mesane taşlarının bilateral
üreter orifislerine bası yaptığı ve kronik irritasyonun mesane duvar
kalınlığını artırarak orifislerde obstrüksiyon oluşturduğu düşünülmektedir .
Sonuç olarak mesane taşları
çeşitli semptom ve klinik ile karşımıza gelmektedir. Olgumuzdaki gibi idrar çıkışında azalma ve
böbrek dilatasyonu olan vakalarda mesane taşları akla getirilmelidir.
Bladder stones are more common in men
over 50 years of age, but constitute 5% of all urinary system stones. Bladder
stones are often detected incidentally during the investigation of patients
with obstructive symptoms, and the complaints of patients are usually dysuria
and hematuria (8). Also giant bladder stones can lead to hydronephrosis.
Therefore, it is necessary to evaluate the upper urinary tract with appropriate
imaging methods and to study renal function tests.
A
72-year-old male patient was admitted to our outpatient clinic with complaints
of strain and bleeding. Urinary system ultrasonography (USG) showed bilateral
dilatation of bilateral kidney collecting system. Computed tomography of the
abdomen revealed a 9,1x6,7x6 cm stone that filled the bladder. The prostate
size was 200 cc. On the 6th day of his hospitalization, open cystolıthotomy was performed.
10x7x6 cm, 270 g weight stone was extracted from the patient.
Acute
renal dilatation of the bladder stones as in our case is rare and the
literature is limited in this literature. Pathophysiologically, it is thought
that bladder stones compress the bilateral ureter orifices and chronic
irritation increases the bladder wall thickness and causes obstruction in the
orifices .
As
a result, bladder stones present with various symptoms and clinical features.
In our case, bladder stones should be considered in cases with reduced urine
output and renal dilatation.
Anahtar Kelimeler
Kaynakça
- 1. Shattock SG. A prehistoric or predynastic Egyptian calculuc.Trans Pathol Soc Lond 1905;56:275.2. Schwartz BF, Stoller ML: The vesical calculus.Urol Clin North Am 2000;27(2):333-46. 3. Razvi HA, Song TY, Denstedt JD: Management of vesical calculi: Comparison of lithotripsy devices. J Endourol 1996; 10:559-63 4. .Kancha RK, Anasuya A. Contribution of vitamin A defici¬ency to calculogenic risk factors of urine: Studies in children. Biocem Med Metab Biol 1992;47:1- http://dx.doi.org/10.1016/0885-4505(92)90002-G5. Ali SH, Rifat UN. Etiological and geographical study on urolithiasis in Iraq. Pediatr Nephrol 2005;20:1453-1457. http://dx.doi.org/10.1007/s00467-005-1971-06. Benzhong J, Zhiping W, Changshi G. Fragment of pubis through the urinary bladder wall causing urinary bladder calculus. Urol Res 2012;40:181-183. http://dx.doi.org/10.1007/s00240-011-0396-47. Mahmoud M, Bassem SW. Bladder erosion of tension-free vaginal tape presente as vesical stone; management and revi¬ew of literature. Int Urol Nephrol 2007;39:453-455. http://dx.doi.org/10.1007/s11255-006-9080-y 8. Menon M, Bhalchondra GP, Drach GW. Urinary Lithiasis: Etiology, Diagnosis, and medical mena-gement . In: Walsh PC, Retik AB, Vaughan ED Jr, Wein AJ (Eds), Campbell’s Urology, 7th Ed., WB Saunders, Philadelphia, 1998, pp:2661-773. 9. Hammad FT, Kaya M, Kazim E. Bladder calculi: Did the clinical picture change? Urology 2006;67:1154-8. 10. Chen Y, DeVivo MJ, Lloyd LK. Bladder stone incidence in persons with spinal cord injury: De-terminants and trends, 1973-1996. Urology 2001;58:665-70. 11. Halil ÇİFTÇİ, Murat SAVAŞ: Dev mesane taşına bağlı tek taraflı hidronefroz. Türk Üroloji Dergisi 2008;34:261-263.12. Komori K, Iwasaki A, Ikegami M, Kajikawa J, Kishimoto T. Giant bladder stone hinyokika kiyo 2000;46:37-40.13. Sundaram CP, Houshiar AM, Reddy PK. Bladder stone caa¬using renal failure. Minn Med 1997;80:25-26. 14. Mosbah A, Krid M, Baccouche S: Transurethral bladder lithotripsy using the Lithoclastin children. Apropos of 7 cases. Prog Urol.1995, 5:79-8115. Goel MC, Baserge NS, Babu RV, et al: Pediatric kidney:Functional outcome after extracorporeal shock wave lithotripsy. J Urol. 1996, 155:2044-46 Guidelines on Benign 16. Torricelli FC, Mazzucchi E, Danilovic A, Coelho RF, Srougi M. Surgical management of bladder stones: literature review. Rev. Col. Bras. Cir. 2013;40:227-33.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Cerrahi |
| Bölüm | Olgu Sunumları |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Eylül 2020 |
| Gönderilme Tarihi | 23 Mayıs 2019 |
| Kabul Tarihi | 25 Temmuz 2019 |
| Yayımlandığı Sayı | Yıl 2020 Cilt: 27 Sayı: 3 |
Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi/Medical Journal of Süleyman Demirel University is licensed under Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International.