Zhu Terry, Han Jullet, Vasquez Evalynn
Department of Urology, Keck School of Medicine, University of Southern California, 1441 Eastlake Avenue NOR 7416, Los Angeles, CA, 90033, USA.
Division of Pediatric Urology, Children's Hospital Los Angeles, 4650 Sunset Boulevard MS, 114, Los Angeles, CA, 90027, USA.
Urol Case Rep. 2020 Sep 29;34:101434. doi: 10.1016/j.eucr.2020.101434. eCollection 2021 Jan.
A 2-month-old full-term female presented with a large anterior sacral meningomyelocele resulting in transient obstructive uropathy with bilateral hydronephrosis and acute kidney injury. After initial bladder decompression and surgical resection of the meningomyelocele, there was spontaneous resolution of bladder function confirmed with urodynamics. Anterior spinal meningomyelocele (ASM) is a rare neural tube defect that may present with urinary dysfunction secondary to compression of the bladder and sacral nerve roots or congenital defects to the bladder nervous supply. Obstructive uropathy due to ASM may spontaneously resolve after surgical resection.
一名2个月大的足月女婴，患有巨大的骶前脊髓脊膜膨出，导致短暂性梗阻性尿路病伴双侧肾积水和急性肾损伤。在最初进行膀胱减压和脊髓脊膜膨出手术切除后，尿动力学检查证实膀胱功能自发恢复。骶前脊髓脊膜膨出（ASM）是一种罕见的神经管缺陷，可能因膀胱和骶神经根受压或膀胱神经供应的先天性缺陷而出现排尿功能障碍。ASM所致的梗阻性尿路病在手术切除后可能会自发缓解。
