Kaneko Go, Katsui Masahiro, Hattori Seiya, Hara Satoshi
Department of Urology Kawasaki Municipal Hospital Kawasaki City Kanagawa Japan.
Present address: Department of Uro-Oncology Saitama Medical University International Medical Center Hidaka Saitama Japan.
IJU Case Rep. 2019 Jul 22;2(5):288-291. doi: 10.1002/iju5.12112. eCollection 2019 Sep.
To describe laparoscopic surgery for psoas abscess caused by migrated urolithiasis.
A 64-year-old female had renal stones in the right kidney for 5 years. She developed right back pain. Her body temperature was 37.4°C, and right costovertebral angle tenderness was detected. In blood examination, her C-reactive protein level was elevated. Computed tomography revealed that one stone had migrated into the right psoas muscle and caused psoas abscess. Another stone was detected in the renal parenchyma. Percutaneous drainage and antibiotic treatment were performed until her symptoms and inflammation improved. However, psoas abscess recurred after removal of the drainage tube. The migrated stone was laparoscopically removed after fenestration of psoas abscess, and laparoscopic nephrolithotomy was simultaneously performed for the other stone.
To the best of our knowledge, this is the first case report of psoas abscess caused by migrated urolithiasis that was managed by minimally invasive surgery.
描述腹腔镜手术治疗因输尿管结石移位导致的腰大肌脓肿。
一名64岁女性右肾结石5年。她出现右背部疼痛。体温37.4°C，右侧肋脊角压痛。血液检查显示C反应蛋白水平升高。计算机断层扫描显示一枚结石已移位至右侧腰大肌并导致腰大肌脓肿。肾实质内发现另一枚结石。在症状和炎症改善之前进行了经皮引流和抗生素治疗。然而，拔除引流管后腰大肌脓肿复发。在腰大肌脓肿开窗后通过腹腔镜取出移位的结石，并同时对另一枚结石进行了腹腔镜肾切开取石术。
据我们所知，这是首例通过微创手术治疗因输尿管结石移位导致的腰大肌脓肿的病例报告。
