肾切除术后20年，残留输尿管残端积脓并伴有肉眼可见结石。

Empyema of retained ureteral stump with gross stone 20 years after nephrectomy.

作者信息

Prajsner Andrzej, Szewczyk Wojciech, Gawron Rafal

机构信息

Department of Urology, Medical University of Silesia, Sosnowiec, Poland.

出版信息

Urology. 2009 May;73(5):993-4. doi: 10.1016/j.urology.2008.12.003. Epub 2009 Feb 4.

DOI:10.1016/j.urology.2008.12.003

PMID:19193402

Abstract

We present a rare case of empyema of the ureteral stump with a large calculus 20 years after nephrectomy for a nonfunctioning kidney secondary to chronic obstruction resulting from a small ureteral stone. The ureteral stump with stone was removed en bloc. We suggest that a ureter with stone should be excised at nephrectomy, especially in cases with a dilated ureter.

摘要

我们报告了一例罕见的输尿管残端积脓病例，患者因小输尿管结石导致慢性梗阻继发无功能肾，肾切除术后20年出现一个大结石。将带有结石的输尿管残端整块切除。我们建议在肾切除时应切除有结石的输尿管，尤其是在输尿管扩张的情况下。