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患者男性,79岁。体检发现左侧输尿管盆腔段占位并肾积水。患者无肉眼血尿,无尿频、尿急、尿痛,双肾区及输尿管走行区无隆起、压痛及叩击痛。查尿常规:潜血()。B超示左肾重度积水,输尿管盆腔段梗阻可能。CT检查示左侧输尿管盆腔段管壁增厚,并见一软组织肿块影(图1),最大截面约2.1 cm×1.6 cm,病灶平扫CT值20Hu,增强扫描后明显强化,各期CT值分别为47Hu、86Hu、79Hu、71Hu;病灶周围脂肪间隙模糊,左肾盂及左侧输尿管全程扩张,左侧肾
Male patient, 79 years old. Physical examination found that the left ureter pelvic floor and hydronephrosis. Patients without gross hematuria, no urinary frequency, urgency, dysuria, renal area and ureteral walking area without uplift, tenderness and percussion pain. Check urine routine: occult blood (). B ultrasound showed severe hydronephrosis of the left kidney, ureteral pelvic obstruction may be. CT examination showed thickening of the left ureter pelvic wall, and see a soft tissue mass (Figure 1), the maximum cross-section of about 2.1 cm × 1.6 cm, CT scan lesion 20Hu enhanced significantly enhanced scan after CT value Respectively, 47Hu, 86Hu, 79Hu, 71Hu; fat around the fat gap fuzzy, left renal pelvis and left ureter full expansion of the left kidney