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患者,男,59岁.因右侧腰腹阵发性绞痛2周,于1993年6月入院.无膀跳刺激症状及肉眼血尿.体检;一般情况好,右肾区叩痛.B超示右肾盂积水,右输尿管上段扩张,L_4、L_5水平腹主动脉前后可见一半圆形低回声壳状区.紧裹腹主动脉,厚约2cm.腹主动脉区有钙化,自肾血管下方延伸至骼血管分叉处.示腹膜后占位性病变.KUS(—).IVU示右肾分泌延缓,右肾盂及输尿管上段扩张,于L_4水平梗阻.双侧输尿管中段向中线移位,到达椎弓.逆行
The patient, male, aged 59, was admitted to the hospital on June 6, 1993. She was admitted to hospital on the right side of the waist and abdomen for 2 weeks and was admitted to hospital in June 1993. No symptoms of bladder spasms and gross hematuria were detected. Showed right hydronephrosis, upper right ureteral dilatation, L_4, L_5 level before and after the abdominal aorta can be seen in a semicircular hypoechoic shell area. Tight abdominal aorta, about 2cm thick. Abdominal aorta calcification, extending from below the renal vasculature To the skeletal vascular bifurcation .It showed retroperitoneal space-occupying lesions.KUS (-) IVU showed delayed renal secretion, right renal pelvis and ureteral dilatation, obstruction in the level of L_4 bilateral ureter to the midline shift, to reach the vertebral arch Retrograde