Cervenová O, Chocholová M, Mrázová J
I. detská klinika Detskej fakultnej nemocnice, Bratislava.
Cesk Pediatr. 1993 Nov;48(11):654-5.
The authors describe three patients with episodes of abdominal pain where despite a negative finding in the urine sonography revealed dilatation of the hollow system. Urography proved stenosis of the pyeloureteral junction. The authors discuss the cause of abdominal pain. Consistent with data in the literature, the authors draw attention to pitfalls in the diagnosis of hydronephrosis. They recommend sonographic examination of children with abdominal pain, as a negative urinary finding does not rule out hydronephrosis. In this respect screening of hydronephrosis and other obstructive anomalies during the neonatal period is an advantage.
作者描述了三名腹痛发作的患者,尽管尿液检查结果为阴性,但超声检查显示泌尿系统中空系统扩张。尿路造影证实肾盂输尿管连接处狭窄。作者讨论了腹痛的原因。与文献数据一致,作者提请注意肾积水诊断中的陷阱。他们建议对腹痛儿童进行超声检查,因为尿液检查结果为阴性并不能排除肾积水。在这方面,新生儿期筛查肾积水和其他梗阻性异常具有优势。