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[颅咽管瘤患者因尿崩症导致的非梗阻性尿路扩张]

[Nonobstructive urinary tract dilatation due to diabetes insipidus in a patient with craniopharyngioma].

作者信息

Ichiyanagi N, Gotou S, Suzuki S

机构信息

Department of Urology, Hamamatsu Medical Center.

出版信息

Hinyokika Kiyo. 1995 Aug;41(8):609-12.

PMID:7572440
Abstract

A 46-year-old man who had a history of hypogonadism, bilateral hydronephrosis and huge residual urine volume during the past ten years was admitted complaining of fever and flank pain. Polyuria which was more than 4 liters per day and inability of urine concentration suggested diabetes insipidus. Magnetic resonance imaging (MRI) demonstrated a tumor which was compatible with craniopharyngioma. Tumor resection and administration of desmopressin improved polyuria and urinary tract dilatation with marked reduction of residual urine volume from 400 ml to 20 ml.

摘要

一名46岁男性,在过去十年中有性腺功能减退、双侧肾积水和大量残余尿量的病史,因发热和侧腹痛入院。每天尿量超过4升且无法浓缩尿液提示尿崩症。磁共振成像(MRI)显示一个与颅咽管瘤相符的肿瘤。肿瘤切除和给予去氨加压素改善了多尿和尿路扩张,残余尿量从400毫升显著减少至20毫升。

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