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患者男,60岁,干部。体检发现“右输尿管结石”半月入院。劳累后感右腰胀痛约半年。曾3次因“不全性肠梗阻”住院治疗。无腹部外伤及手术史,腹膜炎(包括胎粪性腹膜炎)病史不详。查体无异常发现。尿白细胞6～8,红细胞0～2,肾功正常,腹部 X 线平片和静脉肾盂造影:双肾盂肾盏及输尿管显影良好,右输尿管稍增粗,中段可见一个约蚕豆大小阳性结石影,双肾分泌功能好。手术于右腹股沟上方斜形切口,术中见右髂总动脉上缘、右输尿管前方腹膜包裹一个约蚕豆大小结石状物,并在该段输尿管形成一对应压迹,其上部输尿管轻度扩张。行右下腹结石状物切除,术后1周拆线,痊愈出院。标本呈乳白色,约12×26 mm,重约3 g,剖面由两部分组成,外周软组织较薄较坚韧,内为黄白色钙化核心。在 X 线照片上显示致密影。病理
Patient male, 60 years old, cadre. Physical examination found that “right ureteral calculi” half a month hospitalization. After exertion right chest pain about six months. Had 3 times for “incomplete intestinal obstruction” hospitalized. No history of abdominal trauma and surgery, peritonitis (including meconium peritonitis) history is unknown. No abnormal findings. Urinary white blood cells 6 to 8, red blood cells 0 to 2, normal renal function, abdominal plain radiography and intravenous pyelography: double renal pelvis and calyceal and ureteral development is good, a slight thickening of the right ureter, mid-section shows a positive shadow of broad beans, Kidney secretion is good. Surgery in the right groin oblique incision, intraoperative see the right common iliac artery, the right ureter in front of the peritoneum wraps a stone about the size of stone-like objects, and in the ureter to form a corresponding pressure track, the upper part of the ureter slightly dilated. Line right lower abdomen stone removal, 1 week after suture removal, healed and discharged. Specimen was milky white, about 12 × 26 mm, weighing about 3 g, the profile consists of two parts, the outer soft tissue is relatively thin and tough, yellow and white within the calcified core. Show dense shadow on X-ray. pathology