Chuang Feng-Rong, Lee Chih-Hsiung, Chen Chih-Shou, Weng Hsu-Huei, Wang I-Kuan
Division of Nephrology, Chang Gung Memorial Hospital at Chiayi, Chiayi, Taiwan.
Ren Fail. 2003 Sep;25(5):879-84. doi: 10.1081/jdi-120024303.
Uterine prolapse resulting in hydronephrosis was uncommon. We report two cases of complete uterine prolapse and bilateral moderate hydronephrosis. Case 1, she was admitted due to fever with pyuria. Uterine prolapse was noted by incidental finding. Urine culture showed Escherichia coli. She received total vaginal hysterectomy, which corrected the obstruction and bladder dysfunction. Case 2, she had a history of liver cirrhosis and was denied further operation due to bleeding tendency. Renal echo and intravenous pyelography showed bilateral moderate hydronephrosis with hydroureter in the two cases. Normal renal function was found in the two cases. We suggest early diagnosis and management are necessary in order to prevent renal failure and urinary tract infection.
子宫脱垂导致肾积水并不常见。我们报告两例完全性子宫脱垂合并双侧中度肾积水的病例。病例1，因发热伴脓尿入院。子宫脱垂通过偶然发现。尿培养显示大肠杆菌。她接受了全阴道子宫切除术，纠正了梗阻和膀胱功能障碍。病例2，她有肝硬化病史，因出血倾向而被拒绝进一步手术。两例患者的肾脏超声和静脉肾盂造影均显示双侧中度肾积水伴输尿管积水。两例患者肾功能均正常。我们建议早期诊断和治疗对于预防肾衰竭和尿路感染是必要的。
