尿道局部性氨基粉症:一个病例报告
Shuntaro Aoki1,2, Takashi Kawahara3,4, Hironao Tajirika1
1Departments of Urology, Yokohama Municipal Citizen's Hospital, Yokohama, Japan.
Journal of medical case reports
|October 7, 2023
概括
这份病例报告详细介绍了一个罕见的局部性尿管粉样化症病例,该病例发生在一名70岁的妇女身上. 手术切除导致一个成功的结果,在九个月后没有复发.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 病理学 病理学 病理学
背景情况:
- 氨基粉症涉及氨基粉蛋白在各种组织中的细胞外沉积.
- 这种沉积会导致严重的器官功能障碍.
研究的目的:
- 报告一个罕见的局部泌尿管粉样化症病例.
- 要突出诊断和管理考虑这个不寻常的条件.
主要方法:
- 一名70岁的女性出现了尿管阻塞.
- 诊断成像包括对比度增强的CT和逆行色谱.
- 在初始活检无法确定恶性瘤后,进行了瘤切除术.
主要成果:
- 病理学检查证实了局部性尿管粉样化症.
- 广泛的系统性评估没有在其他器官中发现amyloidosis.
- 患者在手术后9个月内没有复发.
结论:
- 局部性尿路粉样性粉症是一种非常罕见的诊断.
- 迅速的外科干预可以有效地管理这种情况.
相关概念视频
Acute Pyelonephritis II: Diagnostic Studies and Management
15
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
15
Kidney Transplant II: Surgical Procedure
22
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
22
Imaging Studies I: Kidney, Ureter, and Bladder Studies
11
Kidney, Ureter, and Bladder (KUB) StudiesKidney, Ureter, and Bladder (KUB) studies are standard diagnostic imaging procedures used to assess the anatomy of the urinary system. They are commonly utilized for patients experiencing abdominal pain or urinary symptoms. By using a simple X-ray of the abdomen, KUB studies can reveal structural and pathological abnormalities within the kidneys, ureters, and bladder. These studies are particularly valuable in diagnosing kidney stones, urinary...
11
Acute Pyelonephritis I: Introduction
20
Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
20
Anatomy of the Genitourinary System I: Kidneys and Ureters
40
The upper urinary system comprises two kidneys and two ureters, which are crucial in filtering blood and forming urine.KidneysLocation and Structure:The kidneys are two bean-shaped organs positioned behind the peritoneum on either side of the spine.Kidneys are between the 12th thoracic (T12) and the 3rd lumbar (L3) vertebrae.The position of the liver causes the right kidney to sit slightly lower than the left.Protective Layers:Each kidney is enveloped in a tough, fibrous membrane called the...
40
Ureters
535
The ureters are retroperitoneal tubes located on either side of the vertebral column. They are responsible for transporting urine from each kidney to the urinary bladder. These tubes have thick walls and are approximately 25-30 cm long. Their diameter is around 10 mm at the renal pelvis, gradually narrowing to 1 mm as the ureter obliquely enters the posterior bladder wall through the ureteric orifices. The shape of these orifices is slit-like, which helps to prevent urine backflow toward the...
535


