Kholtobin D P, Shevchenko S Yu, Kulchavenya E V
TB Research Institute of Ministry of Health of Russia, Novosibirsk, Russia.
GBOU VPO Novosibirsk State Medical University of Ministry of Health of Russia, Novosibirsk, Russia.
Urologiia. 2021 Mar(1):103-106.
Late diagnosis of renal tuberculosis leads to complications that cannot be eliminated by treatment. A clinical observation of renal tuberculosis, complicated by total ureteral obliteration, in a comorbid patient is presented. He underwent planned bowel substitution of the right ureter. In the postoperative period, pyelonephritis developed, which was resolved by drug therapy. In this case, there is the correct tactics of outpatient urologists. When hydronephrosis was diagnosed, a nephrostomy tube was put, which allowed to preserve the kidney, Then the patient was immediately referred to a phthisiatrician to exclude urogenital tuberculosis. In the local TB dispensary, the patient did not have the opportunity to receive necessary treatment, and he was transferred to the TB Research Institute of Ministry of Health of Russia, where a reconstructive laparoscopic procedure was performed.
肾结核的晚期诊断会导致一些无法通过治疗消除的并发症。本文介绍了一例合并症患者肾结核并发输尿管完全闭塞的临床观察情况。他接受了右输尿管的计划性肠代换手术。术后发生了肾盂肾炎，通过药物治疗得以解决。在这种情况下，门诊泌尿科医生采取了正确的策略。诊断出肾积水后，置入了肾造瘘管，从而保住了肾脏。然后患者立即被转诊至结核病医生处，以排除泌尿生殖系统结核。在当地的结核病防治所，患者没有机会接受必要的治疗，于是被转至俄罗斯卫生部结核病研究所，在那里进行了重建性腹腔镜手术。
