O'Reilly P H, Pollard A J
Department of Urology, Stepping Hill Hospital, Stockport.
Br J Urol. 1988 Apr;61(4):284-8. doi: 10.1111/j.1464-410x.1988.tb13958.x.
We present 3 cases of nephroptosis encountered in young females over a 6-month period which posed diagnostic difficulties and gave inaccurate split renal function determinations until the true situation was disclosed. A syndrome is described of clinical presentation with right upper quadrant pain, erect hippuran renography showing an apparently small right kidney and reduced function but with normal time to peak and elimination phase on the curve (the "miniaturised" renogram) and erect and supine DMSA scintigraphy which confirms the diagnosis of abnormal renal mobility. Guidelines are suggested by which nephroptosis can be recognised and assessed in urological and nuclear medicine practice.
我们报告了在6个月期间遇到的3例年轻女性肾下垂病例，这些病例在真正情况被揭示之前造成了诊断困难，并给出了不准确的分肾功能测定结果。描述了一种综合征，其临床表现为右上腹疼痛，直立马尿酸肾图显示右肾明显较小且功能降低，但曲线的峰值时间和消除期正常（“小型化”肾图），以及直立和仰卧位二巯基丁二酸闪烁扫描，证实了肾活动异常的诊断。提出了在泌尿外科和核医学实践中识别和评估肾下垂的指导原则。
