Lo Cascio M, Podestà E, Fatta G, De Angelis M, Toma P
Divisione di Chirurgia Pediatrica, Ospedale Sant'Antonio Abate, Trapani, Italia.
Pediatr Med Chir. 1987 Mar-Apr;9(2):239-42.
AA. report a case history about a 3 month old female baby affected by bilateral pyelo-ureteric obstruction by fungus ball, presented as urine ascites because of fissure in renal pelvis and successfully treated by surgery. In spite of disobstruction and subsequent medical treatment, the obstruction relapsed and a second operation was necessary. This time a bilateral nephrostomy was done allowing irrigation with anti-candida drugs. This case has to be considered unusual because of the age of the patient, the clinical presentation as ascites, the bilateral affection, the tendency to relapse after disobstruction, and the successful treatment after the second operation.
AA. 报告一例3个月大的女婴病例，该女婴因真菌球导致双侧肾盂输尿管梗阻，因肾盂裂隙出现尿腹水，并通过手术成功治疗。尽管解除了梗阻并进行了后续治疗，但梗阻复发，需要进行第二次手术。这次进行了双侧肾造瘘术，以便用抗念珠菌药物冲洗。由于患者年龄、腹水的临床表现、双侧受累、解除梗阻后复发的倾向以及第二次手术后的成功治疗，该病例应被视为不寻常。
