上部尿管結石による尿管破裂にて後腹膜膿瘍とDICをきたした1例

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38歳男.上部尿管破裂により後腹膜膿瘍を形成し,これを基礎疾患としてDICを呈した症例を報告した.本邦での同様の症例でDICまで至った報告は,検索できた限りでは認められなかったA 38-year-old man visited our hospital complaining of severe right flank pain with hematoemesis. Imaging studies including computerized tomographic (CT) scan demonstrated a right ureter stone and retroperitoneal abscess. His septic condition and presence of disseminated intravescular coagulation (DIC) necessitated percutaneous nephrostomy and drainage of the abscess. The patient recovered from DIC and infection within a week. To our knowledge, 5 similar cases of retroperitoneal abscess secondary to ureteral rupture have been reported in the Japanese literature.