鱼刺引发肾脓肿1例报告  

Renal abscess induced by fish bone ingestion:a case report

作　　者：葛玉成 赵振强 詹睿超 刘宇坤 赵承琳张婷婷 田野[2] 王文营[1] Ge Yucheng;Zhao Zhenqiang;Zhan Ruichao;Liu Yukun;Zhao Chenglin;Zhang Tingting;TianYe;Wang Wenying(Department of Urology,Beijing Friendship Hospital,Capital Medical University,Bejing 100050,China;Department of Radiology,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院泌尿外科,北京100050 [2]首都医科大学附属北京友谊医院放射科,北京100050

出　　处：《中华泌尿外科杂志》2023年第9期704-705,共2页Chinese Journal of Urology

摘　　要：鱼刺引发肾脓肿临床极为罕见。本文报道1例男性患者,因腰痛1周、发热2d就诊。超声及CT检查显示左肾低密度区,降结肠壁模糊增厚。CT三维重建图像提示针样异物,穿透降结肠至左肾。患者1周余前曾误食鱼刺。结合病史及临床检查,考虑患者为异物引发肾脓肿。手术探查行结肠修补及脓肿引流,证实异物为鱼刺。患者术后恢复顺利,随访3个月状况良好,无不适主诉。Renal abscess caused by fish bone ingestion is extremely rare and has not been reported in the literature.A male patient presented with a 1-week history of flank pain and a 2-day history of fever.Urinary ultrasound and CT scan showed an irregular hypodense lesion in the left kidney and blurred thickening of the descending colon wall.Three-dimensional CT reconstruction images revealed a needle-like foreign body,which perforated from the descending colonic lumen to the left kidney.The patient had accidentally eaten fish bone one week prior.On the basis of clinical data,the diagnosis of renal abscess caused by foreign body was suspected.Accordingly,laparotomy was performed,the abscess was drained,and the colon was repaired.The foreign body was confirmed to be fish bone.The postoperative condition of the patient was uneventful,and the patient remained well in the 3 months'follow-up without any further complaints.

关 键 词：肾脓肿 鱼刺 异物 

分 类 号：R692[医药卫生—泌尿科学]