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患者,男,62岁。因右上腹疼痛3天于1993年2月13日入院。入院后血尿伴左腰腹部疼痛一次。两年前曾有类似疼痛病史但无血尿。体检:右上腹轻压痛,肾区无叩击痛,未扪及肿块。实验室检查:尿分析200Ery/μl,BUN7.6mmol/L,Cr195μmol/L。IVU示左肾显影淡,肾盂扩张,内部形态模糊不清;右肾正常。B超示左肾盂轻度积液。CT示左肾盂内有一密度稍低、大小约2.3cm×3.8cm之实性占位病变;逆行造影因插管不成功而未做。诊断为左肾盂肿瘤而行左肾、左输尿管及其壁段膀胱部分切除术。术中见肾盂周围有明显增多的脂肪组织包绕,切除肾纵轴剖开见肾盂周围脂肪组织明显增生,肾盂受压变形,肾盂粘膜完整,肾盂内与肾实质均未见赘生物,病理
Patient, male, 62 years old. 3 days due to right upper quadrant pain on February 13, 1993 admission. Hematuria with left waist and abdomen pain after admission. Two years ago there was a history of similar pain but no hematuria. Physical examination: the right upper quadrant mild tenderness, kidney percussion pain, palpable mass. Laboratory tests: urinalysis 200Ery / μl, BUN7.6mmol / L, Cr195μmol / L. IVU showed pale left renal development, pyelonecrosis, internal morphology is blurred; the right kidney is normal. B ultrasound showed mild left renal pelvis effusion. CT showed a slightly lower density of the left renal pelvis, the size of about 2.3cm × 3.8cm solid occupying lesions; retrograde angiography failed to do because of intubation. Diagnosis of the left renal pelvis tumor line left kidney, left ureter and wall segment of the bladder partial resection. Surgical see the renal pelvis was significantly increased around the fat tissue around the excision of the longitudinal axis of the kidney cut open see the renal tissue was significantly increased fat tissue, renal pelvis compression deformation, complete renal pelvis mucosa, renal pelvis and renal parenchyma were no vegetation, pathology