Obstructive urosepsis caused by ureterosciatic hernia: A case report.

输尿管坐外疝致梗阻性尿脓毒血症 1 例.

• 发表时间: Mar 2023
• 来源期刊: Urol Case Rep
• DOI: 10.1016/j.eucr.2023.102372
• PMID: 36915703
• 文章类型: Case Reports
• 作者列表: Yanagida K,Watanabe D,Yoshida T,Kawae N,Mizushima A,Nakagawa T

关键词: CT, computed tomography; Greater foramen sciaticum; USH, ureterosciatic hernia; Ureteral stenting; Ureterosciatic hernia; Urosepsis

Abstract

Ureterosciatic hernia (USH) is a relatively rare cause of ureteral obstruction. We report a case of a patient with obstructive urosepsis caused by USH and treated by ureteral stenting. An 83-year-old woman came to our hospital with symptoms of left lumbar back pain and fever. Enhanced computed tomography showed left hydronephrosis and ureteral protrusion through the greater foramen sciaticum. The patient was diagnosed with USH and underwent transurethral ureteral stenting. Eight months later, the ureteral stent was removed. There has been no recurrence of USH 6 months after removal of the ureteral stent.

摘要

输尿管坐骨疝（USH）是输尿管梗阻的相对罕见的原因。我们报告了一例由USH引起并通过输尿管支架置入术治疗的阻塞性尿脓毒症患者。一位83岁的妇女来到我们医院，出现了左腰背部疼痛和发烧的症状。增强计算机断层扫描显示左侧肾积水和输尿管突出穿过坐骨神经大孔。患者被诊断为USH，并接受了经尿道输尿管支架置入术。八个月后,移除输尿管支架.移除输尿管支架6个月后，USH没有复发。