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After the inferior vena cava report of 2 cases of ureteral
Times. We report 2 cases. reported cases of ill l 1: Male, 5O-year-old r Youyao pain for 15 years, ultrasonography (Vs) showed right kidney and right ureteral water, excretory urography see the right kidney and ureter on the right 1 / 3 expansion, bend in L cephalic midline again rampant. Intraoperative findings after the ureter around the inferior vena cava, inferior vena cava transected ureter to move before the end of the line-side anastomosis. After symptoms disappear. Down 2: t20-year-old woman with urinary frequency t intermittent gross hematuria, low back pain for six months. Urography, CT diagnosis of inferior vena cava after the ureter, ureteral surgery see right around the middle and lower segments and the inferior vena cava and inferior vena cava after the adhesion after hematuria disappeared. 2 to discuss the cause of inferior vena cava 21 from JI ~ JL venous plexus occurs in the embryonic period of 3 pairs of veins and inferior vena cava occurrence, that emperor vein, under the main vein and the main vein. 3 on each branch vein anastomosis, the formation of veins in both sides of the ring. Embryonic week 12, after the kidney from the pelvis up, through the Ministry of the ring of Xinjiang, so ring called kidney ring. Renal complications of esophageal foreign bodies in China, Central Keywords Classification Classification R571 books and materials before and after the two parts of divided ureter from t through. When the emperor veins shrink, its blood circulation from the upper and lower t bear the main vein and inferior vena cava behind the ring formed by the kidney, therefore, the position of the ureter should be such as the emperor in front of the inferior vena cava vein did not shrink, instead of behind the kidney ring part of the anterior kidney Serve ring t to the inferior vena cava and inferior vena cava at the rear of the ureter. Two clinical types: the more common type I obstruction with hydronephrosis and typical signs of the level of the ureter in the L ~ around the inferior vena cava from behind I-no or only mild hydronephrosis water. This type of high position in the ureter to the inferior vena cava, the renal pelvis and ureter almost horizontal position, if any obstruction in the inferior vena cava because of the ureteral wall tissue compression caused by the push. Some cases,[link widoczny dla zalogowanych], complicated shell-type shoe kidney, left renal malformations, such as renal agenesis, renal insufficiency and hypoplasia such rotation. 22 water right kidney associated with the diagnosis of ureteral dilation. Should consider the possibility of this disease. The diagnostic characteristics: ① the right department or Xinjiang, or dull pain abdomen, hematuria is a common symptom, some with urinary tract infection and stones. ② CT enhanced scan can be seen in the inferior vena cava ureter and around the t at the same time to exclude the differential diagnosis of retroperitoneal tumor of the ureter caused by oppression. VS convenient,[link widoczny dla zalogowanych], no plane, the same diagnosis of the disease can provide useful value, but often can not diagnose this disease. @ Urography is the main diagnostic method, to display the ureter was like a typical S-shaped or curved sickle, renal pelvis and ureter on the 1 / 3 are water. I-can see the level of the ureter to the midline shift in the renal pelvis, hydronephrosis is not obvious. ④ If necessary retrograde urography in the inferior vena cava, while the line r contrast to confirm the diagnosis. (Received 1999-07-06) (Zhang before editing) complications in 48 cases of esophageal foreign bodies Hupei Jin (Second Affiliated Hospital of Xuzhou Medical College, Xuzhou 221006) in the last 20 years, our hospital complications of esophageal foreign bodies in 48 cases,[link widoczny dla zalogowanych], are as follows . l clinical data of the group of 37 males and 11 females. Age from 4 to 78 years. Course of 2 ~ 25d, an average of 62d. Foreign body type: bone type (including meat and fish bone) 42 cases, 2 cases of false teeth, the other 4 cases (various porcelain tablets,[link widoczny dla zalogowanych], iron tablets, gun-like cigarette lighters, stone in 1 case). Complications: esophagitis, esophageal perforation t 32 down, 8 cases with cervical abscess in 4 cases, mediastinal abscess in 2, aortic fistula in 1 case, hoarseness in 1. 48 http 45 cases of complications in the treatment birds, 2 and 3 died of complications of esophageal foreign bodies in the discussion are mostly hard, spikes of the foreign body, such as the meaty bones, bones, teeth, etc. - and most effective in patients with swallowed foreign body has a strong history of swallowing things, so that increased esophageal injury, and if treatment is not timely or not handled properly, can be complications. Esophageal foreign body death is the most common food business complications, the complications of 32 patients accounted for 66.7. Because the highly rigid barbed damage esophageal foreign body, causing erosion of the esophagus, revolves around film, bleeding and infection. If the infection is not controlled, death caused by disease will further spread of t esophageal perforation, esophageal surrounding tissue infection, serious complications such as mediastinal abscess. Therefore, when the esophageal foreign body complicated with esophagitis in time t when the active anti-light treatment, and 13 out as early as possible for foreign objects. Prevent serious complications. Cervical esophageal abscess, after removing the foreign body, local inflammation has not been controlled, should be open bow I bypass lateral neck t adequate drainage of pus. The group 3 patients were cured by this method. 8 cases of esophageal perforation after foreign body in the removal, strict fasting, active anti-inflammatory treatment, did not cause serious infection, perforation healing. 1 male patients, swallowed chicken bone, the strong swallow pancakes, esophageal barium through the esophagus showed atrophy. Remove the chicken operation, see the bottom of the anterior wall of the esophagus, revolves around the population stripping film sheet, hanging in the esophagus, the perforation diameter of about 0.5cm, surgery
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