孤立肾患者继发于经尿道前列腺电切综合征的非扩张性梗阻性尿路病
Non dilated obstructive uropathy secondary to tur-syndrome in patient with solitary kidney.
作者信息
Agostini Edoardo, Pretore Eugenio, De Angelis Maria Vittoria, Milanese Giulio, Galosi Andrea
机构信息
Faculty of Medicine, School of Urology, Polytechnic University of Marche, Italy.
Division of Urology, "C. & G. Mazzoni" Hospital, Ascoli Piceno, Marche, Italy.
出版信息
Urol Case Rep. 2022 Oct 7;45:102254. doi: 10.1016/j.eucr.2022.102254. eCollection 2022 Nov.
Non-dilated obstructive uropathy (NDOU) is a condition of renal insufficiency characterized by functional kidney failure and inability of collective system to dilate because of several causes, e.g. hypotension, severe oliguria or dehydration. TUR-syndrome is a complication of bladder resection possibly leading to this condition through electrolytic disequilibrium after fluids reabsorption. We present the case of a patient with solitary kidney suffering from this uropathy regardless of mild electrolytic disorders and small bladder perforations. Prompt diagnosis and management with ureteral stent or nephrostomy tube are imperative in this setting.
非扩张性梗阻性肾病（NDOU）是一种肾功能不全的病症，其特征为功能性肾衰竭以及由于多种原因（如低血压、严重少尿或脱水）导致集合系统无法扩张。经尿道前列腺电切综合征（TUR综合征）是膀胱切除术后的一种并发症，可能通过液体重吸收后的电解质失衡导致这种病症。我们报告了一例患有孤立肾的患者，该患者患有这种肾病，尽管存在轻度电解质紊乱和小的膀胱穿孔。在这种情况下，及时诊断并使用输尿管支架或肾造瘘管进行处理至关重要。
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