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计算机断层扫描显示的放射性透光纯基质结石,发生于1型糖尿病和慢性肾脏病患者:一例报告

Radiolucent Pure Matrix Stones on Computed Tomography Scan, Arising in Patient with Type I Diabetes and Chronic Kidney Disease: A Case Report.

作者信息

Song Young-Woong, Kim Ju-Heon, Bang Kitae, Shin Jong Ho, Kim Kyeong Min, Jeong Jinuk

机构信息

Department of Internal Medicine, Eulji University School of Medicine, Daejeon, Korea.

Department of Pathology, Eulji University School of Medicine, Daejeon, Korea.

出版信息

Korean J Fam Med. 2022 Jan;43(1):86-89. doi: 10.4082/kjfm.20.0095. Epub 2022 Jan 20.

Abstract

Kidney matrix stones are a rare form of calculi, which are challenging to diagnose. Matrix stones consist of a proteinaceous material which has a radiolucent appearance that might be overlooked on imaging. Recently, endourological intervention has been the standard treatment method for matrix stones. We report a case of urinary matrix stones in a patient with type 1 diabetes mellitus and chronic kidney disease, in whom the stones formed into a pure matrix and were not visualized in the computed tomography scan. The stones were found after additional work-up, and they were managed using a transureteral stone basket, not through endourological intervention.

摘要

肾基质结石是一种罕见的结石类型,诊断具有挑战性。基质结石由一种蛋白质物质组成,其在影像学上表现为透X线,可能会被忽视。最近,腔内泌尿外科干预一直是基质结石的标准治疗方法。我们报告一例1型糖尿病和慢性肾脏病患者的尿基质结石病例,该患者的结石形成了纯基质,在计算机断层扫描中未显影。经过进一步检查后发现了这些结石,采用经输尿管结石篮进行处理,而非通过腔内泌尿外科干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8099/8820964/3f5e0146964b/kjfm-20-0095f1.jpg

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