腹痛是由于间歇性肾积水引起的。
Abdominal pain as a result of intermittent hydronephrosis.
机构信息
Guangzhou Women and Children's Medical Center, Guangzhou, Guangdong Province, China.
出版信息
Eur Rev Med Pharmacol Sci. 2018 May;22(10):3126-3129. doi: 10.26355/eurrev_201805_15071.
OBJECTIVE
We report a minority of cases presented with abdominal pain due to intermittent hydronephrosis, to improve the recognition of this condition.
PATIENTS AND METHODS
We retrospectively studied 1152 children complained of abdominal pain in our center from January 2010 to December 2015. Also, we analyzed the clinical presentation, treatment experience, examination results, and image features in detail.
RESULTS
14 patients received a diagnosis of intermittent hydronephrosis including 11 boys and 3 girls. 9 patients were affected on the left kidney and other 5 on the right side. All children presented recurrent abdominal pain, and the ultrasound images varied during different stages. All patients had been misdiagnosed and delayed treatment.
CONCLUSIONS
Abdominal pain caused by intermittent hydronephrosis is easily misdiagnosed; all preschool children with a history of recurrent abdominal pain should be suspected of this condition.
目的
我们报告了少数因间歇性肾积水引起腹痛的病例，旨在提高对此种情况的认识。
患者与方法
我们回顾性研究了 2010 年 1 月至 2015 年 12 月在我院就诊的 1152 例主诉腹痛的儿童。详细分析了他们的临床表现、治疗经验、检查结果和影像学特征。
结果
14 例患者被诊断为间歇性肾积水，其中 11 例为男性，3 例为女性。9 例左侧肾脏受累，5 例右侧肾脏受累。所有患儿均表现为反复发作的腹痛，且超声图像在不同阶段有变化。所有患者均被误诊且延误了治疗。
结论
间歇性肾积水引起的腹痛易被误诊；所有有反复发作性腹痛病史的学龄前儿童都应怀疑该病。
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