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1 病例介绍 患者男,33岁。左侧腰部隐痛伴间隙性脓尿、尿频、尿急、尿痛3个月。经抗炎补液等治疗症状可缓解。近日症状加重来我院就诊。体检:一般情况尚可,心肺无殊。左侧腹部略膨隆,可触及一约15cmX10cm囊性感包块,边界清,活动度差,有轻度压痛。左肾叩击痛(+),肝脾肋下未及。血常规均正常范围。尿常规:脓球(?)。肾盂静脉造影示:左肾盂轻度积水,输尿管显示不清,囊肿内未见造影剂。B超检查:左侧腹部探及一16.5
1 case description Patient male, 33 years old. Left lumbar pain with intermittent pyuria, frequent urination, urgency, dysuria for 3 months. The anti-inflammatory rehydration treatment symptoms can be alleviated. Recently the symptoms increased to our hospital. Physical examination: the general situation is acceptable, no special cardiopulmonary. The left abdomen slightly bulging, palpable about a 15cmX10cm cystic sexy mass, clear border, poor mobility, mild tenderness. Left kidney percussion pain (+), liver and spleen ribs not yet. Blood routine are normal range. Urine routine: pus ball (?). Renal pelvic vein angiography showed: mild left pelvis hydronephrosis, ureteral showed unclear, cyst no contrast agent. B-ultrasound: exploration of the left abdomen and a 16.5