Hattori Yuto, Hida Takuya, Nakamura Kenji, Takahashi Takeshi, Mitsumori Kenji, Ohnishi Hiroyuki
The Department of Urology, Osaka Red Cross Hospital.
The Department of Urology, Kyoto University Hospital.
Hinyokika Kiyo. 2019 Jul;65(7):295-298. doi: 10.14989/ActaUrolJap_65_7_295.
An 83-year-old woman who was diagnosed with hydronephrosis on the right side was referred to our hospital. An abdominal computed tomography scan failed to reveal the cause of the hydronephrosis due to artifacts caused by her artificial hip joint. A subsequent magnetic resonance imaging scan revealed a ureteral herniation into the sciatic foramen. Retrograde pyelography demonstrated hydronephrosis and dilated ureter loopsthrough the sciatic foramen, known asa "curlicue sign". A ureteral stent was placed on her right side, and the ureter waslinearized. After the stent wasplaced, the hernia wasrepaired and the hydronephrosiswasres olved. The ureteral stent wasremoved 3 monthslater, and relapse of the ureteral sciatic hernia did not occur, even after 18 months.
一名83岁右侧肾积水女性被转诊至我院。腹部计算机断层扫描因人工髋关节造成的伪影未能揭示肾积水的病因。随后的磁共振成像扫描显示输尿管疝入坐骨孔。逆行肾盂造影显示肾积水和输尿管通过坐骨孔扩张,即所谓的“卷曲征”。在其右侧放置了输尿管支架,输尿管被拉直。放置支架后,修复了疝,肾积水得到缓解。3个月后取出输尿管支架,即使在18个月后,输尿管坐骨疝也未复发。