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男,22岁。右肾区疼痛3年,不发热,无尿路刺激征。近2年来劳累后有肉眼血尿,于1986年10年4日入院。体检:右肾区压痛、叩击痛,右肾下极可触及。KUB平片示右肾影明显增大,右肾多发结石影。IVP示右肾小盏呈花朵状扩大,有多发结石,右肾盂未显影;左肾盂、肾盏形态正常。B超和CT检查示右肾增大,有囊状缺损区,左肾正常。诊断为右肾多发结石合并积水。1986年10月30日在硬膜外麻醉下行右肾探查术,术中发现右肾大量积水呈多囊状,放出浅黄色液约为1500ml后将右肾切除。
Male, 22 years old. Right kidney pain for 3 years, no fever, no urinary tract irritation. In the past 2 years after fatigue, gross hematuria, admitted to hospital on the 4th of 10, 1986. Physical examination: Right kidney area tenderness, percussion pain, the right kidney can reach under. KUB plain film showed significantly increased right kidney shadow, multiple stones in the right kidney shadow. IVP shows the right kidney small calyx was flower-like expansion, multiple stones, the right renal pelvis was not developed; left renal pelvis, calyx morphology is normal. B ultrasound and CT examination showed increased right kidney, a cystic defect area, left kidney normal. Diagnosis of multiple stones in the right kidney combined with water. October 30, 1986 in the right epidural anesthesia under the right kidney exploration, surgery found a large amount of water in the right kidney was cystic, release a light yellow liquid about 1500ml after the right kidney resection.