特发性肾盂黏膜下出血1例报告并文献复习

打开文本图片集

A case report and literature review of Antopol Goldman lesion

SHAN Hui1，ZHANG Junhui1，KANG Ning1，JIANG Yuguang1，CHEN Ning2，JIANG Yihang1，ZHANG Xin1，ZENG Song1，ZHAO Guojiang1

（1.Department of Urology，2.Department of Imaging Medicine，Beijing Chaoyang Hospital Affiliated to Capital Medical University，Beijing 100043，China）

ABSTRACT：Objective To summarize the diagnosis and treatment of Antopol Goldman lesion （AGL） in clinical practice.Methods Clinical data and diagnosis and treatment process of one AGL case treated in our hospital were retrospectively analyzed，and relevant literature was reviewed.Results The patient presented with painless gross hematuria and right-sided lower back pain.Imaging examination suggested swelling of the right kidney，blood accumulation in the right calyx，renal pelvis and lower ureter，blood clot in the bladder，and multiple small stones in the left kidney.After multidisciplinary consultation，close imaging follow-up，interventional and flexible ureterdscope examination，tumors of hematological diseases，renal hematuria，arteriovenous fistula and collection system were excluded.After conservative treatment，the patient gradually recovered.During the follow-up of 1 year，no hematuria or low back pain recurred.Conclusion There is no clear diagnostic standard for AGL.Diagnosis relies on imaging，interventional methods and ureteroscopy.It is necessary to exclude other diseases and adopt conservative treatment.

KEY WORDS：Antopol Goldman lesion;conservative treatment;self-limited disease

摘要：目的 通过总结特发性肾盂黏膜下出血（AGL）的诊治过程，提高临床对该疾病的认识。（剩余4901字）