外傷性尿嚢腫に対する経皮的治療の1例

A CASE REPORT OF POST-TRAUMATIC URINOMA TREATED BY ENDOUROLOGICAL PROCEDURE

　11歳，女子．プールで転倒し右側腹部を打撲．右側腹部痛を訴え，来院．CT,IVPにて右腎断裂と診断．保存的に経過を観察したが，尿嚢腫，腎孟尿管移行部狭窄の発生を認めた．経皮的ドレナージ，バルーン拡張術，尿管ステント留置を行った．尿管ステント抜去後も水腎症，腎萎縮，高血圧等の合併症もなく経過良好である．

A 11-year old female patient was admitted to our hospital complaining right flank pain after striking her abdomen by accident. Her condition was diagnosed as right renal laceration on IVP and CT, for which conservative treatment was done. Post-traumatic urinoma and pelvi-ureter junction stenosis developed 3 weeks after the accident. Percutaneus drainage, balloon dilatation and indwelling of ureteral stent were performed. The result was exellent after removal of ureteral stent.