巨大输尿管憩室误诊1例
发布时间:2018-03-14 18:04
本文选题:输尿管憩室 切入点:阵发性隐痛 出处:《中国超声医学杂志》2017年10期 论文类型:期刊论文
【摘要】:正患者女,30岁。于5个月余前无明显诱因出现左下腹阵发性隐痛,症状持续时间短,可自行缓解,4个月余前发现左下腹包块,伴左下腹隐痛加重,无其余不适。腹部检查:左下腹可触及大小约70 mm×60mm包块,质韧,活动度一般,轻压痛。外院腹部超声及CT提示左侧附件区囊性包块,大小约75mm×55mm,考虑左侧卵巢囊肿可能性大;左侧输尿管下段狭窄并左肾积水,考虑盆腔囊性包块压迫所致。尿常规、肾功能等相关实验室检查均无异常。
[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.
【作者单位】: 佛山市第一人民医院超声诊疗中心;
【分类号】:R445.1;R693
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