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肾盂积水的漏斗部内切开术,经皮肾镜取石术后的神秘疼痛:一例报告

Endo-infundibulotomy of a hydrocalyx, mysterious pains after percutaneous nephrolithotomy: A case report.

作者信息

Basiri Abbas, Narouie Behzad, Dadpour Mehdi, Najafi Darya, Momeni Hamidreza, Jadidi Sajedeh, Radpour Negar

机构信息

Department of Urology, Urology and Nephrology Research Center, Shahid Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Zahedan University of Medical Sciences, Zahedan, Iran.

出版信息

SAGE Open Med Case Rep. 2024 May 15;12:2050313X241252808. doi: 10.1177/2050313X241252808. eCollection 2024.

Abstract

Hydrocalyx is a dilated renal calyx due to obstruction of the infundibulum and a rare complication after percutaneous nephrolithotomy. We present a 22-year-old girl with hydrocalyx who had following percutaneous nephrolithotomy and its management. A 22-year-old female with recurrent right flank pain underwent percutaneous nephrolithotomy for a kidney stone. Despite interventions such as endoscopic infundibulotomy and double J stenting, the patient experienced persistent symptoms. Laparoscopy ultimately led to improvement. Hydrocalyx is a rare but significant complication post-percutaneous nephrolithotomy. Minimally invasive procedures and endoscopic interventions are the primary treatment options. Laparoscopy may be considered if initial interventions fail. Formation of hydrocalyx after percutaneous nephrolithotomy is a rare yet considerable complication and there are only a few articles in this field available to our knowledge.

摘要

肾盂积水是由于肾盂漏斗部梗阻导致的肾盏扩张,是经皮肾镜取石术后一种罕见的并发症。我们报告一例22岁患有肾盂积水的女孩,她在接受经皮肾镜取石术后的情况及其治疗。一名22岁反复出现右腰疼痛的女性因肾结石接受了经皮肾镜取石术。尽管采取了诸如内镜下肾盂漏斗切开术和双J管置入等干预措施,患者仍有持续症状。腹腔镜检查最终使病情得到改善。肾盂积水是经皮肾镜取石术后一种罕见但严重的并发症。微创手术和内镜干预是主要的治疗选择。如果初始干预失败,可以考虑腹腔镜检查。经皮肾镜取石术后肾盂积水的形成是一种罕见但相当严重的并发症,据我们所知,该领域仅有少数文章。

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