Department of Urology, Kent and Canterbury Hospital, Canterbury, United Kingdom.
Urology. 2010 Aug;76(2):330-1. doi: 10.1016/j.urology.2009.09.044. Epub 2009 Dec 5.
A 36-year-old Caucasian British woman presented with a classic case of right renal colic. Initial plain abdominal radiography and intravenous urography identified an 8 x 5 mm calculus apparently lying within a right lower pole calyx. Following failed extracorporeal lithotripsy and flexible ureterorenoscopy, cross-sectional imaging revealed a misdiagnosis by superposition of an intrahepatic calculus over the right renal shadow. This case serves to support cross-sectional imaging in the diagnosis of renal calculi.
一位 36 岁的白人英国女性出现典型的右侧肾绞痛。初步的腹部平片和静脉尿路造影显示一个 8x5mm 的结石,显然位于右肾下盏内。体外冲击波碎石和软性输尿管镜取石术失败后,横断面成像显示,由于肝内结石叠加在右肾影上,导致误诊。这个病例支持横断面成像在肾结石诊断中的应用。