继发于腹膜后纤维化的输尿管梗阻导致急性肾损伤。
Ureteric obstruction secondary to retroperitoneal fibrosis leading to acute kidney injury.
作者信息
Bjorndalen Harald, Hastings Robert A
机构信息
Department of Surgery, South Warwickshire NHS Foundation Trust, Warwick, Warwickshire, UK.
出版信息
BMJ Case Rep. 2013 Feb 5;2013:bcr2012008093. doi: 10.1136/bcr-2012-008093.
Abstract
A 65-year-old man presenting with apparent acute coronary syndrome was found to have an acute kidney injury. A CT scan of the abdomen revealed bilateral hydronephrosis secondary to retroperitoneal fibrosis, and an unruptured infrarenal abdominal aortic aneurysm Medical management with corticosteroids relieved the ureteric obstruction and renal function started to normalise within 72 h.
摘要
一名65岁男性，表现为疑似急性冠状动脉综合征，被发现患有急性肾损伤。腹部CT扫描显示双侧肾盂积水继发于腹膜后纤维化，以及一个未破裂的肾下腹主动脉瘤。使用皮质类固醇进行药物治疗缓解了输尿管梗阻，肾功能在72小时内开始恢复正常。
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