Krishnan Srivilliputtur G Santhana, VanderBrink Brian, Weiss Gary, Singhal Pravin C, Shah Hitesh H
Department of Medicine, Long Island Jewish Medical Center, New Hyde Park, New York 11042, USA.
Urology. 2007 Dec;70(6):1222.e5-7. doi: 10.1016/j.urology.2007.08.059.
A 44-year-old woman with ovarian cancer and normal renal function developed gross hematuria after carboplatin therapy. Laboratory investigation revealed elevated blood urea nitrogen and serum creatinine values. Computed tomography scan of the abdomen and pelvis with or without contrast revealed bilateral hydronephrosis with high-attenuation material within the left renal pelvis and both ureters consistent with blood. Delayed images at 3 hours revealed intense nephrogram with delayed excretion of contrast bilaterally. She underwent cystoscopy and placement of ureteral stent bilaterally. She had brisk diuresis with associated progressive decrease in serum creatinine to baseline value.
一名44岁患有卵巢癌且肾功能正常的女性在接受卡铂治疗后出现肉眼血尿。实验室检查显示血尿素氮和血清肌酐值升高。腹部和盆腔的计算机断层扫描（有无造影剂）显示双侧肾盂积水，左肾盂和双侧输尿管内有高密度物质，符合血液表现。3小时的延迟图像显示双侧肾影增强，造影剂排泄延迟。她接受了膀胱镜检查并双侧放置输尿管支架。她出现多尿，血清肌酐随之逐渐下降至基线值。
