尿管結石に起因する尿性腹水症例

A CASE OF URINARY ASCITES ASSOCIATED WITH URETERAL STONE

緒言

　尿性腹水に関する記載は胎児，新生児症例で新生児腹水あるいは新生児尿性腹水として腹水の成因につき記述した文献が散見されるが，手術や明らかな外傷に起因する例を除くと成人における報告例は極めて稀である。今回われわれは対側形成不全腎を合併した尿管結石に起因する尿性腹水症例を経験したので報告する。

A 60-year-old man was presented with complaints of flank pain and microhematuria. Plain x-ray film showed a small calcification in the pelvic cavity. Upon admission his blood chemistry was as follow: Sodium, 132 mEq/L; potassium, 4.9 mEa/L; chloride, 99 mEq/L: nonprotein nitrogen, 37 mg/dl; creatinine, 4.2 mg/dl; total protein, 9.0 gr/dl; hematocrit, 4.8%. On the third hospital day he had a rapid and progressive abdominal enlargement which appearently was caused by fluid. But edema was not seen in the lower extremities.