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首页> 外文期刊>Canadian Journal of Emergency Medicine >A stone down below: a urethral stone causing acute urinary retention and renal failure
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A stone down below: a urethral stone causing acute urinary retention and renal failure

机译：下方的结石：尿道结石引起急性尿retention留和肾功能衰竭

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Impaction of a kidney stone in the male urethra is a rare sequela of an otherwise common disease process. Case reports of urethral stones in the recent literature are scarce. We report a case of a 48-year-old man who presented with an impacted urethral stone as a complication of nephrolithiasis. The pathology was twice missed, even with computed tomography showing the stone in the prostatic urethra, which highlights the challenges of making this diagnosis. We review the existing literature outlining the pathogenesis, clinical features and therapeutic considerations as they relate to urethral stones. We underscore the role of the emergency physician in the diagnosis and initial management of this entity, and draw attention to the need to evaluate not just the upper but also the lower genitourinary tracts when interpreting computed tomographic images obtained for the diagnosis of renal colic.
机译：肾结石在男性尿道中的撞击是其他常见疾病过程的罕见后遗症。近期文献中关于尿道结石的病例报道很少。我们报道了一例48岁男子的尿道结石受累作为肾结石的并发症。即使通过计算机断层扫描显示了前列腺尿道中的结石，病理学也被两次遗漏了，这突出了做出此诊断的挑战。我们回顾了现有文献，概述了与尿道结石有关的发病机制，临床特征和治疗注意事项。我们强调了急诊医师在该实体的诊断和初始管理中的作用，并提请注意在解释为诊断肾绞痛而获得的计算机断层图像时，不仅需要评估上泌尿生殖道，还需要评估泌尿生殖道的下部。

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