Langille Gavin M, Norman Richard W
Department of Urology, Dalhousie University, Halifax, Nova Scotia, Canada.
Can J Urol. 2010 Oct;17(5):5408-10.
This case illustrates a rare complication of an impacted ureteric stone which eroded through the wall of the ureter leading to formation of a psoas abscess. Ureteric stent placement and percutaneous drainage of the abscess were insufficient to resolve the problem. Renal scan revealed poor function and the left kidney was removed. It showed evidence of acute supporative pyelonephritis with nephrolithiasis.
该病例说明了输尿管结石嵌顿的一种罕见并发症,结石侵蚀输尿管壁导致腰大肌脓肿形成。放置输尿管支架和经皮引流脓肿不足以解决问题。肾脏扫描显示功能不佳,遂切除左肾。切除的肾脏显示有急性化脓性肾盂肾炎伴肾结石的迹象。