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一名38岁尼日利亚人的异位胸段肾与终末期肾病

Ectopic thoracic kidney and end-stage renal disease in a 38-year-old nigerian.

作者信息

Ekrikpo U E, Effa E E, Akpan E E

机构信息

Department of Internal Medicine, University of Uyo Teaching Hospital, PMB 1136, Uyo, Nigeria.

Department of Internal Medicine, University of Calabar Teaching Hospital, PMB 1278, Calabar, Nigeria.

出版信息

Case Rep Nephrol. 2013;2013:158494. doi: 10.1155/2013/158494. Epub 2013 May 2.

DOI:10.1155/2013/158494
PMID:24527243
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3914239/
Abstract

This patient is a 38-year-old housewife who presented with a one-month history of difficulty, in breathing, chest pain and bilateral leg swelling and had a blood pressure of 260/150 mmHg, features of malignant hypertension and hypertensive heart disease. Chest CT scan revealed a chest location of the left kidney. She also had elevated serum urea and creatinine and proteinuria (++). The right kidney was normally located with loss of corticomedullary differentiation. She is on maintenance haemodialysis and is being worked up for possible left nephrectomy.

摘要

该患者为38岁家庭主妇，出现呼吸困难、胸痛及双侧腿部肿胀1个月，血压为260/150 mmHg，有恶性高血压及高血压性心脏病表现。胸部CT扫描显示左肾位于胸腔。她还存在血清尿素和肌酐升高以及蛋白尿（++）。右肾位置正常，但皮质髓质分界消失。她正在接受维持性血液透析，并正在接受检查以评估是否可行左肾切除术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5394/3914239/a11454668b9d/CRIM.NEPHROLOGY2013-158494.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5394/3914239/d33c9f233d8f/CRIM.NEPHROLOGY2013-158494.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5394/3914239/586a063477bc/CRIM.NEPHROLOGY2013-158494.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5394/3914239/a11454668b9d/CRIM.NEPHROLOGY2013-158494.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5394/3914239/d33c9f233d8f/CRIM.NEPHROLOGY2013-158494.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5394/3914239/586a063477bc/CRIM.NEPHROLOGY2013-158494.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5394/3914239/a11454668b9d/CRIM.NEPHROLOGY2013-158494.003.jpg

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