腎破裂後遺症に対する尿路再建術

Abstract

Late complication of closed renal injury is recently less frequent following initial adequate diagnosis and treatment. However, it is more difficult to correct surgically the sequelae of closed renal injury such as hydronephrosis, ureteral stricture, perirenal pseudocyst, renal hypertension and stone formation, usually necessitating delayed nephrectomy. In three cases with urinary obstruction after closed renal injury, successful urinary reconstruction was done by calyceo-ileo-cystostomy in one case and by intubated ureterotomy in two cases. Total replacement of ureter by ileum and ureteral regeneration by ureterotomy was discussed.