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病例报告；同时合并左胡桃夹综合征和右肾盂输尿管连接处梗阻

Case Report; Concomitant Left Nutcracker Syndrome and Right Ureteropelvic Junction Obstruction.

作者信息

Kidane Mintesnot Yitagesu, Mideksa Adugna Getachew, Adem Mubarek Bargicho, Gebrehiwot Fitsum Gebreegziabher, Adem Ramzi Yessuf, Ahmed Mensur Mohammed, Aderu Abebe Ketema, Berta Mintesnot Tadesse

机构信息

Department of Surgery, Urology Division at St. Paul Hospital and Millennium Medical College, Addis Ababa, Ethiopia.

出版信息

Res Rep Urol. 2024 Jun 10;16:131-135. doi: 10.2147/RRU.S446710. eCollection 2024.

DOI:10.2147/RRU.S446710
PMID:38883265
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11178079/
Abstract

We report rare case of concomitant left nutcracker syndrome and right ureteropelvic junction obstruction (UPJO) on adult female patient diagnosed by CT urogram after she presented with intermittent bilateral flank pain. For this we did Anderson-Hynes pyeloplasty for right ureteropelvic obstruction, it was laparoscopic initially but due to difficulty of stenting it is changed to open. She had smooth post-op course then discharged on 3rd post-op day. Symptoms of nutcracker syndrome are not that much bothersome for the patient so we planned to follow her conservatively.

摘要

我们报告了一例罕见病例，一名成年女性患者出现间歇性双侧胁腹疼痛，经CT尿路造影诊断为同时患有左侧胡桃夹综合征和右侧肾盂输尿管连接处梗阻（UPJO）。为此，我们对右侧肾盂输尿管梗阻进行了安德森-海因斯肾盂成形术，最初是腹腔镜手术，但由于支架置入困难改为开放手术。她术后恢复顺利，术后第3天出院。胡桃夹综合征的症状对患者来说困扰不大，因此我们计划对她进行保守随访。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d64/11178079/61ba31ff0053/RRU-16-131-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d64/11178079/a1f928929e47/RRU-16-131-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d64/11178079/f9ea639af45d/RRU-16-131-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d64/11178079/3943a7957cbf/RRU-16-131-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d64/11178079/61ba31ff0053/RRU-16-131-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d64/11178079/a1f928929e47/RRU-16-131-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d64/11178079/f9ea639af45d/RRU-16-131-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d64/11178079/3943a7957cbf/RRU-16-131-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d64/11178079/61ba31ff0053/RRU-16-131-g0004.jpg

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本文引用的文献

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Minimal Invasive Treatment in Pelvic-Ureteric Junction Obstruction: A Comprehensive Review.盆腔输尿管连接部梗阻的微创治疗：综述
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How successful is the conservative management of pelvi-ureteric junction obstruction in adults?成人肾盂输尿管连接处梗阻的保守治疗效果如何？
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