输尿管梗阻致尿性腹膜炎不多见,近年来我院收治2例,现报告如下。 1 病例简介 例1 男,27岁。因右下腹痛3天以急性阑尾炎于1993年10月16日收入院。病初腹痛为阵发性,解痉剂治疗有效,后疼痛呈持续性,疼痛不向他处放射。伴恶心,呕吐。无尿路刺激症状。体查:T38℃,腹稍膨隆,满腹压痛、反跳痛、肌紧张,以右下腹为甚,右肾区叩击痛,腹部移动性浊音阳性,肠鸣音减弱。尿常规无异常,WBC11.6×10~9/L、N0.78。腹部平片示右输尿管下段结石;B超见右肾盂积水,右输尿管上段扩张、右下腹混合性包块、腹腔内积液。右下腹穿刺能顺利抽到淡黄色液 Ureteral obstruction caused by urinary peritonitis rare in our hospital in recent years, 2 cases were reported as follows. Case description 1 case male, 27 years old. 3 days due to right lower abdominal pain with acute appendicitis in October 16, 1993 income hospital. Initial abdominal pain for the paroxysmal, antispasmodic treatment effective, pain was persistent, the pain did not radiate to him elsewhere. With nausea, vomiting. No urinary tract irritation. Physical examination: T38 ℃, the abdomen slightly bulging, full of tenderness, rebound tenderness, muscle tension, right lower quadrant is even more, the right kidney percussion pain, abdominal mobility dullness positive bowel sounds weakened. No abnormal urine, WBC11.6 × 10 ~ 9 / L, N0.78. Abdominal plain film shows the lower right ureteral stones; B- see right hydronephrosis, upper right ureteral dilatation, right lower quadrant mixed mass, intraperitoneal fluid. Right lower quadrant puncture can be successfully smoked pale yellow liquid