淋巴瘤包绕输尿管导致无尿性肾衰竭——输尿管梗阻但无扩张。

Anuric renal failure due to encasement of the ureters by lymphoma--ureteric obstruction without dilatation.

作者信息

Chong B H, Trew P, Meng L, Pitney W R

出版信息

Aust N Z J Med. 1981 Oct;11(5):542-4. doi: 10.1111/j.1445-5994.1981.tb04628.x.

DOI:10.1111/j.1445-5994.1981.tb04628.x

Abstract

A case of anuric renal failure due to encasement of the ureters by tumour is described in a patient with advanced non-Hodgkin's lymphoma. In this patient as well as in two previously reported cases, the IVP showed delayed pyelogram and increasingly dense nephrogram on delayed films with little or no dilatation of the collecting systems. These radiographic features in a patient with extensive intra-abdominal tumour should strongly suggest the possibility of this unusual form of obstructive uropathy. Correct diagnosis in these cases may enable the administration of effective palliative treatment for the renal failure.

摘要

本文描述了一例晚期非霍奇金淋巴瘤患者因肿瘤包绕输尿管导致无尿性肾衰竭的病例。该患者以及之前报道的两例患者，静脉肾盂造影（IVP）显示肾盂造影延迟，延迟片上肾造影剂密度逐渐增加，而集合系统很少或没有扩张。在有广泛腹腔内肿瘤的患者中，这些影像学特征应强烈提示这种不寻常形式的梗阻性尿路病的可能性。对这些病例的正确诊断可能有助于对肾衰竭进行有效的姑息治疗。