腹部疼痛的新原因呈现出无尿和功能衰竭
Joel Corkill1, Simon Rupret2, Emma Scrivens3
1Urology, Royal United Hospital Bath NHS Trust, Bath, UK j.corkill@nhs.net.
BMJ case reports
|January 29, 2024
概括
一个患有自闭症的女孩因OHVIRA综合征而经历了严重的腹痛和无尿症,导致急性功能衰竭. 迅速的手术干预成功缓解了阻塞,并恢复了功能.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 生殖医学 生殖医学
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 一个患有自闭症的女孩出现了慢性腹痛和急性尿.
- 她最近有尿路感染,焦虑和初潮后流血的病史.
- 严重的疼痛导致了自我造成的牙创伤.
研究的目的:
- 报告一个罕见的OHVIRA综合征病例,在一个青少年女孩中呈现急性功能衰竭.
- 突出诊断挑战和成功管理这种复杂的先天性异常.
主要方法:
- 临床表现和病史审查.
- 身体检查和实验室检查,包括膀扫描和肌素水平.
- 用无增强型CT扫描进行诊断成像.
- 外科干预包括阴道管整形,血栓疏通和尿道支架的安置.
主要成果:
- 脑电图扫描显示了大阴性子宫,缺少左脏,以及由于血栓塞形成的右侧尿液缩.
- 确认了OHVIRA综合征 (阻塞性阴道内膜异位和侧异常) 的诊断.
- 单个右的阻塞导致急性功能衰竭 (肌素829 mmol/L).
- 成功的手术管理缓解了阻塞,并排出了血栓.
结论:
- 在青少年中,OHVIRA综合征可以出现严重的泌尿系统并发症,包括急性功能衰竭.
- 在这种情况下,早期诊断和及时的手术干预对于保持功能至关重要.
- 这一案例强调了在对腹部疼痛和无尿症的差异诊断中考虑罕见的先天性异常的重要性.
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