1一般资料患者,男性,67岁。大便习惯改变3个月,并且症状进行性加重。肠镜和病理提示:降结肠腺癌。入院后行结肠癌根治术,术中损伤右侧输尿管,当即修补后行末端回肠造瘘。术后经输尿管双J型导管引流不畅,输尿管修补处所置腹腔引流管引流出大量尿液。在B超引导下行经皮肾盂穿刺引流术,穿刺置引流管后有血性液体流出。查CT见远端引流管经肾盂进入下腔静脉(图1)。在引流2周后,腹腔尿液引流逐渐减少,经输尿管J型导管引流通畅,考虑输尿管破裂已经愈合,准备DSA下拔除肾盂引流管。 1 General Information Patient, male, 67 years old. Bowel habits change 3 months, and the symptoms progressively worsened. Enteroscopy and pathology tips: descending colon adenocarcinoma. After admission, colon cancer radical operation, intraoperative damage to the right ureter, immediately after the repair of the terminal ileal fistula. Postoperative ureteral double J-type catheter drainage is poor, ureter repair set abdominal drainage tube to drain a large amount of urine. In the B-guided percutaneous percutaneous drainage of renal pelvis, puncture catheter drainage after bloody fluid outflow. See CT distal drainage tube through the renal pelvis into the inferior vena cava (Figure 1). After 2 weeks of drainage, peritoneal drainage of urine gradually reduced by the ureteral J-type catheter drainage patency, ureteral rupture has been considered to heal, to prepare for the removal of renal pelvis drainage tube DSA.