一名18岁男性中，肾积水的盆腔肾酷似尿潴留。

Hydronephrotic pelvic kidney mimicking urinary retention in an 18-year-old male.

作者信息

Reimold Philipp, Aksoy Cem, Tosev Georgi, Hatiboglu Gencay, Hohenfellner Markus

机构信息

Department of Urology, University Clinic Heidelberg, Im Neuenheimer Feld 420, 69120, Heidelberg, Germany.

出版信息

Urol Case Rep. 2022 Sep 23;45:102241. doi: 10.1016/j.eucr.2022.102241. eCollection 2022 Nov.

DOI:10.1016/j.eucr.2022.102241

PMID:36238445

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9551077/

Abstract

We present a case of a hydronephrotic pelvic kidney in an 18-year-old male reporting about inability to void. Ultrasound showed a hypoechogenic mass mimicking a full urinary bladder. Anticipating urinary retention, a foley was inserted but no urin could be aspirated. Imaging showed a hydronephrotic pelvic kidney with no relevant function obstructing the urinary bladder and the contralateral ureter. Nephrectomy was performed and postoperative course was uneventful. A hydronephrotic pelvic kidney is a rare but important differential diagnosis in young men reporting lower abdominal pain and inability to void.

摘要

我们报告一例18岁男性盆腔肾积水病例，该患者自述无法排尿。超声显示一个低回声肿块，类似充盈的膀胱。考虑到尿潴留，插入了导尿管，但未引出尿液。影像学检查显示为盆腔肾积水，无相关功能障碍阻塞膀胱和对侧输尿管。实施了肾切除术，术后病程平稳。盆腔肾积水在报告有下腹痛和无法排尿的年轻男性中是一种罕见但重要的鉴别诊断。