Sano K, Terashima K
Department of Urology, Kanagawa Children's Medical Center, Yokohama, Japan.
Hinyokika Kiyo. 1994 Jun;40(6):515-8.
We report a case of bilateral multicystic kidney and left ureteropelvic junction (UPJ) obstruction in a female infant. She was diagnosed to have severe cystic disease from 20 weeks of gestation. After birth with cesarean section, she was transferred to the neonatal intensive care unit (NICU) of our hospital. One day after birth, she was referred to our department for progression of azotemia. We placed a nephrostomy catheter into the largest renal cyst, but it did not work. One week later, we placed another nephrostomy catheter into another cystic lesion inside of the first one. It worked well for nine months and azotemia was improved. At the age of nine months her upper urinary tract was reconstructed by pyeloplasty. We observed peristalsis of ureter and first urination from bladder.
我们报告一例女性婴儿双侧多囊肾并左侧输尿管肾盂连接部（UPJ）梗阻的病例。她在妊娠20周时被诊断患有严重的囊性疾病。剖宫产出生后，她被转入我院新生儿重症监护病房（NICU）。出生后一天，她因氮质血症进展被转诊至我们科室。我们将一根肾造瘘导管置入最大的肾囊肿，但未起作用。一周后，我们在第一个囊肿内的另一个囊性病变处又置入了一根肾造瘘导管。它正常工作了九个月，氮质血症得到改善。九个月大时，她接受了肾盂成形术以重建上尿路。我们观察到了输尿管的蠕动以及膀胱的首次排尿。
