肾脏异物1例报告  

A case report of renal foreign-body

作　　者：沙显燊 陈征 林志超[2] 郭泽雄[1] 卓育敏[1] Sha Xianshen;Chen Zheng;Lin Zhichao;Guo Zexiong;Zhuo Yumin(Department of Urology,The First Affiliated Hospital of Jinan University,Guangzhou 510632,China;Medical Image Center,The First Affliated Hospital of Jinan University,Guangzhou 510632,China)

机构地区：[1]暨南大学附属第一医院泌尿外科,广州510632 [2]暨南大学附属第一医院影像中心,广州510632

出　　处：《中华泌尿外科杂志》2024年第9期709-710,共2页Chinese Journal of Urology

摘　　要：肾脏异物在临床上罕见。本文报道1例12岁男性患儿,因间断右腰部刺痛不适1年就诊。体格检查与实验室检查均未见明显异常,增强CT及三维血管造影提示右肾前上极内有金属影患者近1年喜食粉条,结合病史及临床检查,考虑患者为异物穿透十二指肠扎入肾脏。3D腹腔镜下行异物取出术,证实异物为长25mm的金属针。术后第3天患儿出院。随访6个月状况良好。Renal foreign-body is rare in clinical practice.This article reports a case of 12-year-old male patient who presented with intermittent right lumbar stabbing pain for one year.Physical and laboratory examinations showed no significant abnormalities.Enhanced CT and three-dimensional angiography indicated a metal object in the anterior superior pole of the right kidney.The patient had a history of consuming vermicelli frequently over the past year.Considering the medical history and clinical examinations,it was hypothesized that a foreign body had penetrated the duodenum and lodged into the kidney.A foreign body extraction was performed via 3D laparoscopy,confirming the object to be a 25 mm long metallic needle.The patient was discharged on the third postoperative day.Follow-up at six months showed the patient to be in good condition.

关 键 词：肾脏异物 腹腔镜技术 金属针 影像学检查 

分 类 号：R726.9[医药卫生—儿科]