一例因肾盂癌出血导致急性梗阻性肾盂肾炎经腹腔镜肾切除术救治成功的病例。
A case of acute obstructive pyelonephritis due to bleeding from a renal pelvis cancer rescued with laparoscopic nephrectomy.
作者信息
Yanagi Masato, Takahashi Ken, Kikuchi Yuta, Takahashi Takuya, Iwata Hideaki, Izuta Hiro, Osawa Shuichi, Nishimura Taiji, Kondo Yukihiro
机构信息
Department of Urology Heisei-Tateishi Hospital Katsushika-ku Tokyo Japan.
Department of Urology Nippon Medical School Hospital Bunkyo-ku Tokyo Japan.
出版信息
IJU Case Rep. 2025 May 2;8(4):301-304. doi: 10.1002/iju5.12816. eCollection 2025 Jul.
INTRODUCTION
We encountered a case of acute obstructive pyelonephritis caused by bleeding from a renal pelvis cancer that was successfully treated by laparoscopic nephrectomy.
CASE PRESENTATION
An 88-year-old woman with fever of 40.2°C and right back pain associated with hematuria due to a right renal pelvic tumor. Computed tomography showed a blood clot filling the right renal pelvis and ureter. She was diagnosed with severe obstructive pyelonephritis due to undrainable blood clots. Nephrectomy was performed to control the infection. Although the perirenal area was easy bleeding, nephrectomy was completed and the patient's condition improved.
CONCLUSION
Renal pelvis carcinomas with hemorrhage requiring blood transfusion should be treated with radical nephroureterectomy as early as possible.
引言
我们遇到一例因肾盂癌出血导致的急性梗阻性肾盂肾炎，经腹腔镜肾切除术成功治疗。
病例介绍
一名88岁女性，因右肾盂肿瘤出现40.2°C发热及伴有血尿的右背部疼痛。计算机断层扫描显示血凝块填充右肾盂和输尿管。她被诊断为因血凝块无法引流导致的严重梗阻性肾盂肾炎。为控制感染进行了肾切除术。尽管肾周区域容易出血，但肾切除术仍顺利完成，患者病情好转。
结论
对于伴有出血且需要输血的肾盂癌，应尽早行根治性肾输尿管切除术。
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