Khan Ziauddin, Yaqoob Alaeddin A, Bhatty Tanweer A
Department of Urology, King Hamad University Hospital, Kingdom of Bahrain.
Urol Ann. 2016 Apr-Jun;8(2):229-32. doi: 10.4103/0974-7796.176869.
We present a case of spontaneous retrograde migration of ureterovesical junction stone to the kidney. A 26-year-old Bahraini male, diagnosed with left lower ureteric stone 7 months before this presentation. On his recent presentation, the stone has migrated down but not passed, confirmed on imaging. Operative removal was planned. X-ray kidney ureter bladder (KUB) in the morning of surgery did not reveal stone in the ureter, but the same shadow was seen in the kidney. An urgent computerized tomography-KUB was done, and this confirms the stone has migrated to the kidney. Surgery was canceled, and the stone was dealt with extracorporeal shockwave lithotripsy and was fragmented in the first session. This retrograde migration of lower ureteric stone to the kidney is not reported in the English literature in human before.
我们报告一例输尿管膀胱连接部结石自发逆行迁移至肾脏的病例。一名26岁的巴林男性,在此次就诊前7个月被诊断为左输尿管下段结石。在他最近的就诊中,结石已向下迁移但未排出,影像学检查证实了这一点。计划进行手术取出。手术当天上午的腹部平片(KUB)未显示输尿管内有结石,但在肾脏中看到了相同的阴影。进行了紧急计算机断层扫描-KUB检查,证实结石已迁移至肾脏。手术取消,结石通过体外冲击波碎石术处理,在第一次治疗中就被击碎。此前英文文献中未报道过人类输尿管下段结石逆行迁移至肾脏的情况。