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尿路結核により一側腎が腎摘または機能喪失し,残腎に腎瘻または尿管瘻の造設されている女性が妊娠した場合,腎機能が増悪する可能性や胎児への悪影響の有無が問題である。このような状態で妊娠分娩に成功した報告は稀であり,内外文献を調べても,土屋ら1),峯2),石川ら3)の報告した計3例に過ぎない。われわれも最近,同様な症例を経験したので報告する。
A 24 years old married female was first seen on July 5, 1968, complaining of general malaise, pollakisuria, remittent high fever and occational gross hematuria of three month's duration. At the age of eleven, she had renal tuberculosis and received chemotherapy for six months.
Examinations revealed aseptic pyuria, anemia, azotemia (BUN 84mg/dl) and hyponatremia (127 mEq/l). Urography showed no dye excretion from the right kidney and marked hydronephrosis of theleft kidney. Urine culture for tubercle bacilli was negative. A diagnosis of renal failure secondary to tuberculous ureteral stricture was made.
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