Fraley症候群の1例

Abstract

A 44-year-old housewife was seen with episode of frequent attacks of severe pain in the right flank which usually persisted 12 to 13 hours. Her pain was somewhat relieved by lying on her left side. Urinalysis was negative. Physical examination was essentially negative except for CVA-tenderness and palpable kidney on right side. Excretory pyelography demonstrated persistent filling defect of the superior calyceal infundibulum on right side (Fig. 1 and 2). An erect film showed delayed emptying of dye from the superior calyx as well as ptosis of the right kidney. The patient was lost for follow-up from the outpatient clinic and further examinations or treatments were not carried out. Diagnosis was made, however, as Fraley's syndrome (vascular obstruction of superior infundibulum) advocated in 1966.