上尿路尿路上皮癌阻塞并压迫下腔静脉导致的巨大肾积水。
Massive hydronephrosis due to obstruction by upper urinary tract urothelial carcinoma with compression of the inferior vena cava.
作者信息
Trigui Mohamed, Ouanes Yassine, Rahoui Moez, Chaker Kays, Marrak Mahdi, Nouira Yassine
机构信息
Department of Urology, LA RABTA Hospital, University of TUNIS EL MANAR, Tunis, Tunisia.
出版信息
Urol Case Rep. 2023 Aug 18;50:102539. doi: 10.1016/j.eucr.2023.102539. eCollection 2023 Sep.
A 78-year-old woman presented with tachypnea, abdominal distension, bilateral lower limb edema, and hematuria. A contrast-enhanced CT scan of the abdomen and pelvis was performed, which revealed a significant left-sided hydronephrosis upstream of an upper urinary tract urothelial carcinoma (UUT-UC). The patient underwent a left open nephroureterectomy, and approximately 10 L of fluid were evacuated. Follow-up examinations did not show any recurrence of abdominal swelling.
一名78岁女性出现呼吸急促、腹胀、双侧下肢水肿和血尿。对腹部和骨盆进行了增强CT扫描，结果显示在上尿路尿路上皮癌（UUT-UC）上游存在明显的左侧肾积水。患者接受了左侧开放性肾输尿管切除术，排出了约10升液体。随访检查未显示腹部肿胀有任何复发迹象。
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