Yanagida Kazuki, Watanabe Daisuke, Yoshida Takahiro, Kawae Norikazu, Mizushima Akio, Nakagawa Tohru
Department of Urology, Koto Hospital, Koto-ku, Tokyo, Japan.
Department of Urology, Teikyo University School of Medicine, Itabashi-ku, Tokyo, Japan.
Urol Case Rep. 2023 Mar 1;47:102372. doi: 10.1016/j.eucr.2023.102372. eCollection 2023 Mar.
Ureterosciatic hernia (USH) is a relatively rare cause of ureteral obstruction. We report a case of a patient with obstructive urosepsis caused by USH and treated by ureteral stenting. An 83-year-old woman came to our hospital with symptoms of left lumbar back pain and fever. Enhanced computed tomography showed left hydronephrosis and ureteral protrusion through the greater foramen sciaticum. The patient was diagnosed with USH and underwent transurethral ureteral stenting. Eight months later, the ureteral stent was removed. There has been no recurrence of USH 6 months after removal of the ureteral stent.
输尿管坐骨疝(USH)是输尿管梗阻相对罕见的病因。我们报告一例因USH导致梗阻性脓毒症并接受输尿管支架置入治疗的患者。一名83岁女性因左腰背痛和发热前来我院就诊。增强计算机断层扫描显示左肾积水以及输尿管经坐骨大孔突出。该患者被诊断为USH并接受了经尿道输尿管支架置入术。8个月后,取出输尿管支架。输尿管支架取出6个月后,USH未复发。