自家腎移植を行なつた腹膜後腔線維症の1例

CASE REPORT OF RETROPERITONEAL FIBROSIS TREATED BY INTROPERITONEAL TRANSPLANTATION OF THE KIDNEY

緒言

　原因不明の非特異性炎症による後腹膜腔の線維化といわれている腹膜後腔線維症は，比較的稀な疾患とされている。またその診断も困難なことが多く，症状が進んだ時期に見出されることが多い疾患のひとつである。われわれは，本症の無尿を主訴として来院した1例を経験し，手術的に腹腔内に右腎を自家移植し，良好な経過を経た症例を経験したのでここに報告するとともに若干の考察を加える。

This 32-year-old woman was admitted to our ward on December 15, 1978 complaining of minimal edema on extremities and anuria. Till then the patient had been treated for malignant rheumatoid arthritis and periarteritis nodosa for 9 years by a near-by dermatologist. Retrograde pyelography was done since postrenal anuria was suspected. A ureteral catheter was passed with some difficulty up to the right renal pelvis but not beyond 2.5cm from the orifice on the left. Bilateral nephrostomy was performed through lumber incisions since bilateral ureters were strictured by surrounding thick fibrous tissue.