在青春期调查尿道盆腔结口阻塞的异常呈现:一个案例报告
Ryan S Wexler1,2,3, Leslie Fuller4, Kristen Kelly5
1Helfgott Research Institute, National University of Natural Medicine, Portland, United States.
Journal of pediatric nephrology..
|July 10, 2025
概括
尿道盆腔结口阻塞 (UPJO) 可能导致青少年周期性吐和腹痛. 早期诊断和治疗对于预防长期损伤至关重要.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 儿科胃肠病学 儿科胃肠病学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 泌尿外皮交叉阻塞 (UPJO) 是水性的常见原因,通常在产前诊断.
- 虽然许多病例自发地消失,但症状性UPJO可以表现为腹痛 (Dietl危机),吐,皮疹或儿童发烧.
- 青少年呈现慢性,周期性症状可能会延迟诊断.
研究的目的:
- 强调在青少年周期性吐和腹痛的差异诊断中考虑UPJO的重要性.
- 强调在患有胃肠道症状的儿科患者中延迟诊断和治疗UPJO的潜力.
- 倡导将泌尿学评估纳入青少年持续性腹痛和吐的治疗.
主要方法:
- 一个14岁的男性的病例介绍,他有两年的周期性吐,头痛和腹痛病史.
- 诊断工作包括脏磁共振泌尿学 (MRU).
- 手术干预涉及皮叶造型术和支架安置,以解决发现的UPJO.
主要成果:
- 脏MRI显示右功能下降和皮质延迟到尿道的过渡时间,表明UPJO.
- 进行了手术纠正 (骨质整形和支架放置).
- 该案例说明了UPJO的延迟诊断,并呈现出非泌尿病症状.
结论:
- 在患有周期性吐和腹痛的青少年患者的差异诊断中应考虑UPJO.
- 早期对UPJO的临床考虑可能会导致及时的诊断和干预,可能会防止多年的症状.
- 咨询儿科胃肠病学指南,如NASPGHN,应包括考虑症状持续时的泌尿病学原因.
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