Japanese
English
症例
Kockパウチ術後急性腎不全の1例
ACUTE RENAL FAILURE IN A PATIENTS WITH KOCK POUCH
米山 威久
1
,
三沢 一道
1
,
稲田 文衛
1
,
井上 善博
1
,
古田 桂二
1
Takehisa Yoneyama
1
,
Kazumichi Misawa
1
,
Takashi Tsuruta
1
,
Yoshihiro Inoue
1
,
Toshikazu Okaneya
1
1国立松本病院泌尿器科
1Division of Urology, Matsumoto National Hospital
キーワード:
急性腎不全
,
尿路変更
Keyword:
急性腎不全
,
尿路変更
pp.261-263
発行日 1988年3月20日
Published Date 1988/3/20
DOI https://doi.org/10.11477/mf.1413204704
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- Abstract 文献概要
- 1ページ目 Look Inside
Kock禁制回腸膀胱造設11ヵ月後に輸入脚が腸管粘液で閉塞し,急性腎不全を来した稀な1例を報告した。
A 54-year-old man who had undergone construction of Kock's continent reservoir 11 months before developed oliguria and right flank pain. Antegrade pyelography showed dilatation of the afferent valve. This procedure was followed by smooth excretion of urine from the pouch. One month later the patient again developed oliguria. Endoscopy of the pouch confirmed that an abundant amount of mucus was pushed out from the afferent valve by infusion of saline into the nephrostomy. Then, diuresis recovered. A deformity of the afferent nipple valve would have caused accumulation of intestinal mucus leading to postrenal oliguria.
Copyright © 1988, Igaku-Shoin Ltd. All rights reserved.