关键词: CT, computed tomography Case report Herniation MRU, magnetic resonance urography Psoas muscle fascia Ureter

来  源:   DOI:10.1016/j.eucr.2022.102287   PDF(Pubmed)

Abstract:
The herniation of ureter is rare. A 59-year-old woman with hydronephrosis caused by herniation of ureter through psoas muscle fascia was observed. The patient referred to our clinic with four weeks\' history of left flank pain and fever. Computed tomography urography and antegrade combined with retrograde urography revealed tortuous and proximal dilated ureter and hydronephrosis on the left side. Herniation of ureter through psoas muscle fascia was confirmed in operation and laparoscopic ureteroplasty with end to end anastomosis was done. No obvious hydronephrosis or flank pain was observed in follow-up for one and a half year.
摘要:
输尿管疝是罕见的。观察到一名59岁的女性,因输尿管疝通过腰大肌筋膜引起肾积水。患者转诊至我们的诊所,有四周的左侧腹疼痛和发烧病史。计算机断层扫描尿路造影和顺行结合逆行尿路造影显示左侧弯曲和近端扩张的输尿管和肾积水。手术证实输尿管经腰大肌筋膜突出,并进行了腹腔镜输尿管成形术和端到端吻合。随访1年半,未见明显肾积水或侧腹疼痛。
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