腎嚢胞内のジャックストーン結石
Donald Dennis1, Sanya Dhami2, Rishabh Gattu1
1Department of Medical Imaging, Arrowhead Regional Medical Center, 400 N Pepper Ave, Colton, CA, 92324, USA.
Radiology case reports
|December 24, 2025
まとめ
ジャックストーン結石は、おもちゃのジャックに似たまれな尿路結石で、膀胱外にも形成されることがあります。この症例は、腎嚢胞内に存在する可能性を示しており、上腹部痛の評価において考慮する必要があることを強調しています。
科学分野:
- 腎臓病学
- 泌尿器科学
- 放射線学
背景:
- ジャックストーン結石は、特徴的なジャック様の形態を持つまれな尿路結石である。
- 通常は膀胱内で発見されるが、腎盂または腎杯で報告されたこともある。
研究 の 目的:
- コンピューテッドトモグラフィーを用いて同定された腎嚢胞内のジャックストーン結石の最初の症例を報告すること。
- うっ滞を起こしやすい尿路の様々な部位でのジャックストーン結石形成の可能性を強調すること。
主な方法:
- コンピューテッドトモグラフィー(CT)が画像診断に利用された。
- 片側性の左上腹部痛という臨床所見が認められた。
主要な成果:
- 腎嚢胞内にジャックストーン結石が同定された。
- 患者は片側性の左上腹部痛を呈した。
結論:
- ジャックストーン結石の形成は膀胱に限定されず、尿のうっ滞がある尿路のどの部分でも発生する可能性がある。
- これらの結石は、片側性の右上腹部痛を呈する患者の鑑別診断において考慮されるべきである。
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