巨大輸尿管憩室誤診1例
發(fā)布時間:2018-03-14 18:04
本文選題:輸尿管憩室 切入點:陣發(fā)性隱痛 出處:《中國超聲醫(yī)學(xué)雜志》2017年10期 論文類型:期刊論文
【摘要】:正患者女,30歲。于5個月余前無明顯誘因出現(xiàn)左下腹陣發(fā)性隱痛,癥狀持續(xù)時間短,可自行緩解,4個月余前發(fā)現(xiàn)左下腹包塊,伴左下腹隱痛加重,無其余不適。腹部檢查:左下腹可觸及大小約70 mm×60mm包塊,質(zhì)韌,活動度一般,輕壓痛。外院腹部超聲及CT提示左側(cè)附件區(qū)囊性包塊,大小約75mm×55mm,考慮左側(cè)卵巢囊腫可能性大;左側(cè)輸尿管下段狹窄并左腎積水,考慮盆腔囊性包塊壓迫所致。尿常規(guī)、腎功能等相關(guān)實驗室檢查均無異常。
[Abstract]:The patient was 30 years old. There were no obvious inducements for paroxysmal pain in the left lower abdomen more than 5 months ago. The symptoms lasted for a short time and could be alleviated by themselves. More than 4 months ago, the left lower abdomen mass was found, with the aggravation of the left lower abdomen pain. There was no other discomfort. Abdominal examination showed that the left lower abdomen could reach the mass about 70 mm 脳 60 mm in size, tough in quality, average in activity and mild in tenderness. Abdominal ultrasound and CT showed cystic mass in the left adnexal region, about 75 mm 脳 55 mm in size, and the possibility of left ovarian cyst was high. Left ureteral stenosis with left hydronephrosis was due to pelvic cystic mass compression.
【作者單位】: 佛山市第一人民醫(yī)院超聲診療中心;
【分類號】:R445.1;R693
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