尿毒症をきたした膀胱・子宮脱の1例

Abstract

A case of procidentia uteri which caused uremia was reported. A 76-year-old woman complained of dizziness, neck pain, involuntary convulsion and loss of appetite. She was admitted under the diagnosis of chronic renal failure in June 1980. She has been noting uterine prolapse for fifty years but she complained of neither difficulty in urination nor urinary incontinence. As renal function was not improved in spite of medical treatments, she was sent to our department. Retrograde indwelling of ureteral catheter into the renal pelvis relieved azotemia and the level of BUN returned to normal in 3 days. On the improvement of her general condition, procidentia uteri was repaired in success. Occasional case reports of obstructive uropathy due to uterine prolapse are seen but this is not widely known. Potential urinary tract obstruction should be considered in every patient with a uterine prolapse. 319 Literatures about the mechanism of ureteral obstruction due to uterine prolapse were reviewed.