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題名 | Ectopic Pelvic Kidney with Lithiasis Presenting as Acute Abdomen in Mayer-Rokitansky Syndrome: Report of a Case=以急性腹痛表現之Mayer-Rokitansky症候群合併骨盆腔異位腎臟併發結石:病例報告 |
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作者 | 陳欣宏; 陳永泰; 陳日昇; 劉展棠; 周輝政; 蔡水沼; Chen, Shin-hong; Chen, Yung-tai; Chen, Jih-sheng; Lowe, Gin-tong; Jou, Hei-jen; Tsai, Suei-tsau; |
期刊 | 臺灣外科醫學會雜誌 |
出版日期 | 20060600、20060700 |
卷期 | 39:3 民95.06-07 |
頁次 | 頁164-167 |
分類號 | 416.273 |
語文 | eng |
關鍵詞 | Mayer-rokitansky症候群; 異位性腎臟; Mayer-rokitansky syndrome; Mullerian duct agenesis; Ectopic kidney; Lithiasis; |
中文摘要 | 臨床上異位性腎臟屬罕見,大約2100至3000人中有一例,至於müllerian發育不全合併異位性腎臟及其結石在文獻上更是少見。我們報告一位40歲女性因急性下腹痛住院,經消化外科醫師檢查診斷懷疑為腹部腫瘤合併鈣化進行剖腹探查手術,卻發現腫瘤位置竟然在後腹腔,於是緊急照會泌尿科,經逆行性輸尿管導管術檢查確認為異位性腎臟合併腎盂結石,由於腎功能不良加上腎組織及尿路黏膜外觀異常,故進行腎切除手術,且照會婦產科證實為Rokitansky Syndrome之病例。 |
英文摘要 | The ectopic pelvic kidney rare, and has been estimated to occur once in 2100 to 3000 autopsies. An ectopic pelvic kidney with a huge renal stone in a patient with mullerian agenesis is even rarer. To the best of our knowledge, no such case (ectopic pelvic kidney with stone) has been reported. We report hereby a 40-year-old woman who presented with acute lower abdominal pain and was treated with exploratory laparotomy by a general surgeon under the impression of calcified abdominal tumor. However, the tumor was found to be located in the retroperitoneal space during operation. The urologist took over on the operative table and revealed it to be an ectopic pelvic kidney with urolithiasis associated with the Mayer-Rokitansky syndrome. We describe the clinical course and review the literature of the Mayer-Rokitansky syndrome and associated renal anomalies. |
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