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肾脏炎性假瘤临床上极为罕见,至1990年国内外文献仅报道4例。最近,我院收治1例,报告如下: 患者,男,17岁。入院前2月因左腰部疼痛伴低热(38℃左右)在外院行抗炎治疗,症状无明显缓解,经B超和静脉尿路造影诊断为“左肾占位性病变”而转我院治疗。自发病以来无排尿困难和血尿,既往有外伤史。实验室检查和X线胸片均未见异常。IVP提示左肾占位性病变。B超检查:左肾上极背侧皮质内有47×43mm之稍强回声团,中央为19×14mm低回声区。CT检查:左肾肿瘤(附图)。术前诊断为左肾肿瘤。术中见局部炎症、粘
Kidney inflammatory pseudotumor is extremely rare in clinic, and only 4 cases were reported in domestic and foreign literature in 1990. Recently, 1 case admitted to our hospital, the report is as follows: Patients, male, 17 years old. Pre-admission February due to left lumbar pain with fever (about 38 ℃) outside the hospital anti-inflammatory treatment, no significant symptoms, B ultrasound and intravenous urography diagnosed as “left renal space-occupying lesions” and transferred to our hospital . Since the onset of no dysuria and hematuria, history of trauma. Laboratory tests and X-ray showed no abnormalities. IVP prompted left renal space-occupying lesions. B-ultrasound: the left kidney on the dorsal cortex 47 × 43mm slightly stronger echo group, the central 19 × 14mm hypoechoic area. CT examination: left kidney tumor (with photos). Preoperative diagnosis of left kidney tumors. See intraoperative inflammation, sticky