St. Louis University School of Medicine, St. Louis, MO.
St. Louis University School of Medicine, St. Louis, MO.
Urology. 2022 Jan;159:210-213. doi: 10.1016/j.urology.2021.10.016. Epub 2021 Oct 30.
We describe a case of congenital giant megaureter in a 16-year-old female. She presented with a 5-day history of abdominal distention, right flank pain and tenderness. Right pyelonephritis was suspected. Computerized tomography showed a large cystic abdominal mass with no appreciably functioning left kidney causing secondary compression of the contralateral right ureter. A left upper nephroureterectomy was performed, draining over 3.5 L of fluid. Our experience suggests that congenital giant megaureter should be considered in the differential for pediatric patients presenting with a cystic abdominal mass.
我们描述了一例 16 岁女性先天性巨大巨输尿管病例。她因腹胀、右腰痛和压痛就诊，病史 5 天。右侧肾盂肾炎被怀疑。计算机断层扫描显示一个大的囊性腹部肿块，左侧肾脏几乎没有功能，导致对侧右侧输尿管继发性压迫。进行了左肾盂输尿管切除术，排出超过 3.5 升的液体。我们的经验表明，对于出现囊性腹部肿块的儿科患者，应考虑先天性巨大巨输尿管作为鉴别诊断。
