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中華民國泌尿科醫學會雜誌

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篇名 Uterine prolapse Results in Vesical Stones, Ureteral Stone, and Acute Renal Failure:A Case Report
卷期 11:4
並列篇名 子宮脫垂引發膀胱及輸尿管結石合併急性腎衰竭:一病例報告
作者 康立盟劉中興黃其麟李蠻剛
頁次 190-192
關鍵字 子宮脫垂急性腎衰竭泌尿道阻塞uterine prolapseacute renal failureurinary obstructionTSCI
出刊日期 200012

中文摘要

我們報導的病例為一位六十六歲的女性,因子宮脫垂導致急性腎衰竭合併膀胱及輸尿管結石而至本院治療。經緊急經皮膚臟造廔術後及支持性治療,病人腎臟功能五天候恢復正常。接著以膀胱鏡及輸尿管進行水電波碎石術處理膀胱及輸尿道結石,最後我們會診婦產科醫師行經陰道子宮切除術,陰道縫合及直腸子宮間凹整形術治療子宮脫垂,術後病人康復出院。至今未再發生腎衰竭及泌尿道結石。在此,我們報告此一病例,並討論其臨床表徵以及回顧文獻報告。

英文摘要

We present a case of a 66-year-old woman who visited our hospital on account of acute renal failure combined with vesical stones and ureteral stone due to uterine prolapse. An emergency percutaneous nephrostomy was performed, and supportive treatment was administered. On the 5th day post-hospitalization, the renal function of the patient had recovered to a normal range. Then cystoscopy, ureteroscopy, and electrohydraulic lithotripsy were performed to remove the vesical stones and ureteral stone. Finally we consulted a gynecologist to perform a vaginal hysterectomy together with anterior and posterior colporraphy, and culdoplasty to treat the uterine prolapse. The patient was discharged in a stable condition. Since then, the patient has visited our outpatient department regularly, and no more acute renal failure or urolithiasis have been noted. We report this case and review the literature.