Madsen H T, Larsen F, Hauge P
Department of Diagnostic Radiology, Vejle Hospital, Denmark.
Rontgenblatter. 1989 Oct;42(10):432-4.
Giant hydronephrosis and hydroureteronephrosis are rare conditions, but must be kept in mind in especially children and in young-to-middle-aged adults with long-standing, often symptomless, enlargement of the abdomen. A case of bilateral giant hydroureteronephrosis due to calculi in the ureters is reported. Despite renal insufficiency the patient denied any treatment, but survived 42 months after the primary diagnosis. For diagnostic purposes intravenous pyelography, ultrasonography and computerized tomography are preferable. Supplementary ante- and retrograde pyelography is valuable in locating stenosis or calculi.
巨大肾积水和肾盂输尿管积水是罕见病症，但对于腹部长期增大（通常无症状）的儿童以及中青年成人而言，必须予以重视。本文报告了一例因输尿管结石导致双侧巨大肾盂输尿管积水的病例。尽管患者存在肾功能不全，但拒绝接受任何治疗，不过在初次诊断后存活了42个月。为了进行诊断，静脉肾盂造影、超声检查和计算机断层扫描是较为可取的方法。补充性的顺行和逆行肾盂造影对于确定狭窄部位或结石位置很有价值。
