Newman R M, Provet J A, Ranson J H
Department of Surgery, New York University Medical Center, N.Y.
Surgery. 1994 May;115(5):656-60.
Clinically significant ureteral obstruction caused by the inflammatory complications of severe pancreatitis is rare with only eight previously reported cases. We present two additional cases and review the world literature. Clinically significant ureteral obstruction can affect either or both ureters and present simultaneously with an episode of pancreatitis or months later. If symptomatic ureteral obstruction is present, prompt urologic drainage is recommended. Definitive correction of the obstruction is frequently required and depends on the obstructive mechanism.
由重症胰腺炎的炎症并发症引起的具有临床意义的输尿管梗阻很少见，此前仅有8例报道。我们现报告另外2例病例并回顾世界文献。具有临床意义的输尿管梗阻可累及单侧或双侧输尿管，可与胰腺炎发作同时出现或在数月后出现。如果存在有症状的输尿管梗阻，建议及时进行泌尿外科引流。通常需要对梗阻进行确切纠正，这取决于梗阻机制。
