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ACUTE NECROTIZING URETERITIS WITH OBSTRUCTIVE UROPATHY FOLLOWING INSTILLATION OF SILVER NITRATE IN CHYLURIA: A CASE REPORT

灌注硝酸銀治療乳糜尿併發急性壞死性輸尿管炎及阻塞性腎病變一病例報告

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摘要


乳糜尿的發生是淋巴循環與腎盂之間相通。其發生的原因可歸類為寄生蟲引起或非寄生蟲引起。疾病本身並非馬上有生命威脅,但它可因為嚴重的蛋白尿而引起血中白蛋白過低,體重減低,以及免疫方面的異常。乳糜尿的治療包括了飲食控制、硝酸銀權注以及手術的處理。在腎盂施以硝酸銀灌注來治療乳糜尿曾被報告是一個安全、侵犯性小並且有效的方扶。我們提出一個五十五歲女性患者,罹患乳糜尿,經由在腎盂施以硝酸銀灌注來治療乳糜尿卻併發急性壞死性輸尿管炎及阻塞性腎病變。我們探經皮穿腎造屢併抗生素的非手術治療,成功的達到完全緩解。

並列摘要


Chyluria occurs as a result of communication between the lymphatics and the renal pelvis. It is believed that instillation of silver nitrate into the renal pelvis is a safe, minimally invasive and effective treatment for chyluria. We report an unusual complication of acute necrotizing ureteritis following instillation of silver nitrate in a case of chyluria. It resolved completely with non-surgical intervention. The diagnosis and management of chyluria is discussed, with a brief review of the literature.

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