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題名 | Infected Renal Cyst: Report of a Case=感染性腎囊腫:一病例報告 |
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作者 | 陳嘉聖; 鍾錫裕; 陳采峰; 高銘聰; Chen, Chia-sheng; Chung, Shyi-yu; Chen, Tsai-feng; Kao, Ming-tsung; |
期刊 | 中臺灣醫學科學雜誌 |
出版日期 | 20010900 |
卷期 | 6:3 2001.09[民90.09] |
頁次 | 頁185-190 |
分類號 | 415.819 |
語文 | eng |
關鍵詞 | 感染性腎囊腫; 腎皮質膿瘍; 經皮穿刺引流; Infected renal cyst; Percutaneous drainage; Renal abscess; |
中文摘要 | 單一腎囊腫的感染通常是菌尿症的上行性感染,但亦有因醫源性的腎囊腫穿刺而造成感染。臨床上,感染性腎囊腫與腎皮質膿瘍不易區別,他們的徵候症狀甚至超音波、電腦斷層檢查皆不易區別,一開始它可表現像腹部腫塊,因此,必須排除惡性腫瘤的可能。我們報告這位65歲的女性,之前即有巨大的腎囊腫,接受經皮穿刺引流,但併發感染,入院後,接受抗生素及膿瘍引流,排除惡性腫瘤及廔管的形成,治癒後出院。因為臨床上時常遇到腎囊腫,處理時應免感染的發生,所以提出此病例來引起大家注意。 |
英文摘要 | Infection of solitary renal cysts usually occurs as complication of either bacteriuria with ascending infection or hematogenous spread. However, it can also occur as a result of iatrogenic cyst instrumentation. It is difficult to differentiate between an infected solitary cyst and a cortical renal abscess on the basis of symptoms, signs and even renal imaging. Infected renal cysts may initially present as an abdominal mass, so malignancy should be ruled out. We report here of a 65-year-old woman with diabetes mellitus who previously suffered from a single large renal cyst. She received percutaneous drainage at another hospital, but the procedure was complicated by a catheter infection that resulted in an infected renal cyst. Percutaneous drainage was performed again and antibiotics were prescribed. Malignancy was ruled out and no fistula formation was noted. The patient recovered one month later and was discharged. Solitary renal cysts are common in nephrological practice. Cyst infection can be avoided with careful needle aspiration. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。