一个成年病例严重无症状双边泌尿外皮交点阻塞
Md Fahad Hossain1, Syed Sheheryar Shah1, Bahar Bastani1
1Division of Nephrology, Department of Medicine, Saint Louis University School of Medicine, St. Louis, USA.
Case reports in nephrology
|September 22, 2023
概括
成年人可能会发展出尿管皮带结 (UPJ) 阻塞,这种情况在儿童中更为常见. 这一案例突出显示,在成年人中偶然发现了严重的双侧UPJ阻塞,呈现出无症状的血.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 放射学 放射学是一门学科.
背景情况:
- 尿道关 (UPJ) 阻塞是儿科患者尿路扩张的常见原因.
- 在成年人中,其表现和识别的频率较低.
- 成年人开始的UPJ阻塞可能是无症状的,并偶然发现.
研究的目的:
- 报告一个成人开始的双边UPJ阻塞病例.
- 突出诊断发现和临床过程.
- 强调在成人患者中考虑UPJ阻塞的重要性,这些患者有不明原因的尿路发现.
主要方法:
- 一个68岁的男性患者的病例报告.
- 慢性静止性低血压的评估.
- 偶然发现了无症状的微观出血症.
- 腹部/盆腔CT扫描带有和没有对比度,以评估水和阻塞.
主要成果:
- 脑电图扫描显示了UPJ阻塞的二次性严重的双边水.
- 患者在尿路症状方面无症状.
- 在7年的随访期间,功能一直保持不变.
结论:
- 尿道盆腔结 (UPJ) 阻塞可以发生在成年人中,并且可能无症状.
- CT成像对于诊断UPJ阻塞和评估其严重程度至关重要.
- 成年人开始的UPJ阻塞可以随着时间的推移潜伏地呈现,随着时间的推移保留功能.
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