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[感染性孤立性肾囊肿伴囊内结石:一例报告]

[Infected solitary renal cyst with an intracystic stone: a case report].

作者信息

Nagata Y, Hihara T, Katsuoka Y, Kawamura N, Awaji H

出版信息

Hinyokika Kiyo. 1985 Nov;31(11):2015-20.

PMID:3911770
Abstract

A 23-year-old women had a high grade and right CVA tenderness after Caesarean section at another hospital. Because of these symptoms, she was eventually transferred to our university hospital, where she was treated with antibiotics. However, both the high grade fever and right CVA tenderness persisted. We conducted IVPs in order to determine the cause of the fever. Deformities of the right upper calyceal system were consequently discovered. We then performed sonographic examination, CT-scan and percutaneous cystography which revealed a right infected solitary renal cyst with an intracystic stone. An operation revealed no apparent communication between the renal cyst and calyceal system. Histological examination of the surgical specimens revealed the presence of inflammatory change. The postoperative course was uneventful and the patient was discharged.

摘要

一名23岁女性在另一家医院剖宫产术后出现高热及右侧肋脊角压痛。由于这些症状,她最终被转至我们的大学医院,在那里接受了抗生素治疗。然而,高热和右侧肋脊角压痛持续存在。为了确定发热原因,我们进行了静脉肾盂造影。结果发现右上肾盏系统畸形。随后我们进行了超声检查、CT扫描及经皮膀胱造影,结果显示为右侧感染性孤立肾囊肿并伴有囊内结石。手术发现肾囊肿与肾盏系统之间无明显交通。手术标本的组织学检查显示存在炎症改变。术后病程平稳,患者出院。

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