单侧输尿管梗阻所致反射性无尿

Reflex anuria from unilateral ureteral obstruction.

作者信息

Hull J D, Kumar S, Pletka P G

出版信息

J Urol. 1980 Feb;123(2):265-6. doi: 10.1016/s0022-5347(17)55891-7.

Abstract

A 20-year-old woman had 18 hours of pain and anuria associated with a calcium oxalate stone impacted in the distal left ureter. The stone passed spontaneously and the urine output returned. There was no abnormality of the right kidney on excretory urography. We believe that this is a cause of reflex anuria not previously described. Severe pain may be the initiating event in this unusual but interesting syndrome and mechanisms proposed by previous authors are reviewed.

摘要

一名20岁女性因草酸钙结石嵌顿于左输尿管末端，出现了18小时的疼痛和无尿症状。结石自行排出后，尿量恢复。排泄性尿路造影显示右肾无异常。我们认为这是一种此前未被描述过的反射性无尿的病因。严重疼痛可能是这一罕见但有趣的综合征的起始事件，本文对既往作者提出的机制进行了综述。