慢性腎不全を伴った腎孟尿管膀胱腫瘍の1例
スポンサーリンク
概要
- 論文の詳細を見る
We report a case of multiple urothelial tumors (left renal pelvis, ureter and bladder) with chronic renal failure in a 72-year-old man. The patient was admitted because of gross hematuria with increasing volume and intervals on September 14, 1985. Admission evaluation including excretory urography, retrograde pyelography, computed tomography and cystoscopy revealed multiple urothelial tumors in the left renal pelvis, ureter and bladder. Radical surgery, however, was postponed because of pneumothorax induced by an inadvertent insertion of the CVP catheter at operation. Subsequent respiratory disturbance persisted so that he was observed at the outpatient clinic following right ureterocutaneostomy. Gradual increase in anemia and decrease in renal function, however, prompted another admission. Gross hematuria necessitating frequent blood replacement could not be controlled by transurethral resection of bladder tumors. Therefore left nephroureterectomy with resection of bladder cuff was performed after internal arteriovenous shunt had been established, because favorable results regarding tumor resection were obtained from preoperative evaluations. He showed satisfactory recovery and was spared hemodialysis despite eventful postoperative course with transient decrease in renal function. The patient was discharged on 130th postoperative day and is now being followed up at the outpatient clinic. The relevant literature is also reviewed briefly.
著者
関連論文
- 経尿道的前立腺切除術(TUR-P)の臨床的検討 : 第53回東部総会
- 尿道粘膜麻酔による直視下内尿道切開術の検討
- 脊椎転移症状を初発とした腎癌の3例(第52回日本泌尿器科学会東部総会)
- 膀胱排尿筋に対するadrenaline β receptorの効果(第452回東京地方会)
- 80歳以上の入院患者における臨床的検討 : 第51回東部総会
- 腎不全を伴った, 腎盂尿管および膀胱腫瘍の1例 : 第442回東京地方会
- 恥骨原発軟骨肉腫の膀胱浸潤に対し膀胱部分切除術を施行した1例 : 第440回東京地方会
- 帝京大学泌尿器科学教室過去6年間における尿管結石の治療分布
- 泌尿器科領域における MINICRIO modulo E の使用経験
- Renal hamartoma の1例 : 第48回東部連合総会
- 左後腹膜腔にみられた嚢腫の1例 : 第421回東京地方会
- 慢性腎不全を伴った腎孟尿管膀胱腫瘍の1例
- 転移性精索腫瘍の1例および文献的考察 : 第50回東部総会
- 膀胱とhistaminergic receptors