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症例
膀胱尿管逆流と尿管下端の通過障害
VESICO-URETERAL REFLUX AND DISTAL URETERAL OBSTRUCTION: CASE REPORT
寺島 和光
1
,
高橋 剛
1
,
古畑 哲彦
2
,
小川 勝明
2
Kazumitsu Terashima
1
,
Go Takahashi
1
,
Tetsuhiko Furuhata
2
,
Katsuaki Ogawa
2
1神奈川県立こども医療センター泌尿器科
2国立横須賀病院泌尿器科
1Department of Urology, Kanagawa Children's Medical Center
2Department of Urology. Yokosuka National Hospital
pp.419-421
発行日 1976年5月20日
Published Date 1976/5/20
DOI https://doi.org/10.11477/mf.1413202158
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緒言
膀胱尿管逆流（以下VURと略）の合併症として，腎盂腎炎，水腎症，水尿管症などはよく知られているが，最近われわれはVURが原因と思われる尿管下端の通過障害を経験したので報告する。
It is well known that vesico-ureteral reflux may cause pyelonephritis, hydronephrosis and hydroureter and there are some reports causing obstruction of the lower ureter.
Right VUR was discovered in a 6 year old boy with recurrent acute pyelonephritis. VUR had disappeared after 4 months administration of antibiotics but the lower end of right ureter showed remar-kable dilatation and tortuosity. Vesiconeostomy was performed after resecting and repairing the lower end of right ureter, and the cause of obstruction was suspected to be from the bended lower ureter. Postoperative course was uneventful.
Copyright © 1976, Igaku-Shoin Ltd. All rights reserved.
