Department of Urology, Saga Prefectural Hospital Koseikan, Saga, Japan.
Int J Urol. 2011 Oct;18(10):716-7. doi: 10.1111/j.1442-2042.2011.02831.x. Epub 2011 Aug 11.
A 76-year-old woman with history of cholecystectomy, hysterectomy, and vesicourethral suspension presented with acute lumbar backache and discomfort in the lower abdomen and severe nausea, with frequent vomiting, but without any associated fever. Physical examination revealed knocking tenderness at the left costal-vertebral angle. The patient's serum white blood cell count was 14,900/mm(3) and the results of other laboratory tests, including urinalysis, were normal. Non-enhanced computed tomography revealed left hydroureteronephrosis and obstruction of the distal left ureter with herniation into the sciatic foramen. A left ureteral stent was inserted with a double-J stent. The stent was removed after 2 months and thereafter the patient did not experience any recurrence.
一位 76 岁女性,既往有胆囊切除术、子宫切除术和膀胱尿道悬吊术病史,因急性腰痛和下腹部不适、严重恶心、频繁呕吐就诊,但无发热。体格检查发现左侧肋脊角叩击痛。患者的血清白细胞计数为 14900/mm(3),其他实验室检查结果(包括尿液分析)均正常。未增强 CT 显示左侧输尿管积水和左输尿管远端梗阻,疝入坐骨切迹。置入左输尿管支架,2 个月后取出支架,此后患者未再复发。