Morita T, Kitamura S, Yasukawa S
Department of Urology, Kishiwada City Hospital.
Hinyokika Kiyo. 1992 Oct;38(10):1147-50.
The patient was a 32-year-old female with the complaint of right flank pain. Drip infusion pyelogram showed right hydronephrosis and retrograde urogram demonstrated a marked stenosis about 2 cm in length at the right distal ureter. The passage of the ureteral catheter and the contrast medium through the narrowing portion of the ureter could not be performed. The abdominal computerized tomographic (CT)-scan disclosed renal subcapsular urinoma, although no abnormal findings which caused ureteral stenosis were revealed. A suspicion of right ureteral tumor was entertained and total nephroureterectomy was performed. Histopathological diagnosis was the idiopathic retroperitoneal fibrosis, which involved the right ureter. One hundred and fifty five cases of idiopathic retroperitoneal fibrosis in the Japanese literature were reviewed.
该患者为一名32岁女性，主诉右侧胁腹疼痛。静脉肾盂造影显示右肾积水，逆行尿路造影显示右输尿管远端有一段约2厘米长的明显狭窄。输尿管导管和造影剂无法通过输尿管狭窄部位。腹部计算机断层扫描（CT）显示肾包膜下尿瘤，尽管未发现导致输尿管狭窄的异常情况。怀疑为右输尿管肿瘤，遂行全肾输尿管切除术。组织病理学诊断为特发性腹膜后纤维化，累及右输尿管。回顾了日本文献中155例特发性腹膜后纤维化病例。
