Allegheny General Hospital, Pittsburgh, PA 15212, USA.
Nat Rev Nephrol. 2009 Dec;5(12):722-5. doi: 10.1038/nrneph.2009.169.
A 25-year-old woman was evaluated repeatedly from 10 months following her first pregnancy and delivery for recurrent episodes of lower right quadrant abdominal pain, hematuria and a sensation of mass. Despite investigations by several physicians over a 7 month period no clear diagnosis had been made, but a psychosomatic disorder or possible periodic blocked bowel had been suggested, after which the patient requested a consultation with a nephrologist. Her history indicated joint laxity syndrome and a mitral valve prolapse. She was undergoing continuing evaluation for a possible rheumatic condition.
Full history, physical examination, and intravenous pyelography.
Nephroptosis of the right kidney.
Exercises were prescribed to strengthen her abdominal musculature and she was advised to wear an elastic abdominal corset during the daytime. The patient is currently considering surgical intervention.
一位 25 岁的女性，在首次妊娠和分娩后 10 个月，反复出现右下腹部疼痛、血尿和肿块感。尽管多位医生进行了长达 7 个月的检查，但仍未明确诊断，仅考虑为心身障碍或可能的周期性肠梗阻，此后患者要求咨询肾病专家。患者有全身关节松弛综合征和二尖瓣脱垂病史，目前仍在进行可能的风湿性疾病评估。
详细病史、体格检查和静脉肾盂造影。
右肾下垂。
建议患者进行腹部肌肉锻炼，并在白天佩戴弹性腹带。目前患者正在考虑手术干预。
