Masarwa Ismail, Bahouth Zaher, Halachmi Sarel
Urology, Bnai-zion Medical Center, Haifa, Israel.
Urol Case Rep. 2016 Jun 1;8:1-3. doi: 10.1016/j.eucr.2016.04.017. eCollection 2016 Sep.
A 5 day old baby, with known left hydronephrosis which discovered by prenatal US presented with gastrointestinal tract obstruction. Laboratory work up demonstrated abnormal renal function and metabolic acidosis combined with hyperkalemia. Radiology tests showed bilateral hydronephrosis with huge left renal pelvis crossing the midline and causing deviation of the gut laterally. This acute presentation beside inability to receive oral feeding made us prefer immediate left renal drainage with pyelostomy in order to restore renal function, relieve the pressure effect of the huge renal pelvis and stabilize the baby. Dismembered pyeloplasty was done at age of 3 months.
一名5天大的婴儿，产前超声检查发现已知患有左肾积水，现出现胃肠道梗阻。实验室检查显示肾功能异常、代谢性酸中毒合并高钾血症。放射学检查显示双侧肾积水，巨大的左肾盂越过中线并导致肠道向外侧移位。除了无法经口喂养外，这种急性表现使我们倾向于立即进行左肾造瘘引流，以恢复肾功能、减轻巨大肾盂的压迫作用并使婴儿病情稳定。在3个月大时进行了离断性肾盂成形术。
