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额外肾属胚胎发育异常,极少见。我们遇到2例,经尿路造影及手术证实,报告如下。例1,男,37岁。反复尿频、尿急、尿痛2年。近半年上腹部饱胀不适,左腰部钝痛。体检:体温37.0℃,血压130/90毫米汞柱。腹软,左上腹触及8.0×9.0厘米包块,质中,活动度差,轻压痛,左肾区叩击痛。全身表浅淋巴结无肿大。尿常规:白细胞(+)。血常规及血清生化正常。B超:左双肾盂双输尿管畸形并上肾结石及肾盂输尿管积水。静脉排泄性尿路造影:见左肾影明显增大。肾盂肾盏受压向外下方移位,上组肾盏拉长变形。上方见-1.0×1.0厘米致密
Extra renal genital abnormalities, rare. We encountered two cases, confirmed by urography and surgery, the report is as follows. Example 1, male, 37 years old. Frequent urination, urgency, dysuria 2 years. Almost half of the upper abdomen discomfort, left lower back dull pain. Physical examination: body temperature 37.0 ℃, blood pressure 130/90 mm Hg. Abdomen soft, left upper quadrant palpable 8.0 × 9.0 cm mass, quality, poor activity, mild tenderness, percussion pain in the left kidney area. Whole body superficial lymph nodes without swelling. Urine routine: white blood cells (+). Blood and serum biochemistry normal. B super: left double renal pelvis double ureteral deformity and kidney stones and ureteropelvic hydrops. Venous excretion urography: see left kidney shadow significantly increased. Renal pelvis caliber pressure downward shift, the upper set of calyces elongated deformation. See above -1.0 × 1.0 cm dense