Asanad Kian, Nassiri Nima, Vasquez Evalynn
Children's Hospital of Los Angeles, Division of Pediatric Urology, Los Angeles, CA, USA.
Urol Case Rep. 2020 May 20;32:101272. doi: 10.1016/j.eucr.2020.101272. eCollection 2020 Sep.
A 7-week-old girl presented with tachypnea and abdominal distension. Abdominal ultrasonography demonstrated a 16 cm cystic mass in the right abdomen. Contrast-enhanced T2-weighted magnetic resonance imaging revealed severe hydronephrosis of the right kidney with thinning of the renal parenchyma consistent with a massive ureteropelvic junction (UPJ) obstruction. A percutaneous nephrostomy tube was placed for decompression of her right kidney and 1270 ml of fluid was drained. The patient underwent an open pyeloplasty. Her follow-up renal ultrasonography demonstrated resolution of her severe hydronephrosis.
一名7周大的女童出现呼吸急促和腹胀。腹部超声检查显示右腹部有一个16厘米的囊性肿块。对比增强T2加权磁共振成像显示右肾严重肾积水，肾实质变薄，符合巨大输尿管肾盂连接部（UPJ）梗阻。放置了一根经皮肾造瘘管以减轻右肾压力，引流了1270毫升液体。患者接受了开放性肾盂成形术。她的后续肾脏超声检查显示严重肾积水已消退。
