遊走腎
WordNet
- not definitely committed to a party or policy; "floating voters"
- the act of someone who floats on the water (同)natation
- (of a part of the body) not firmly connected; movable or out of normal position; "floating ribs are not connected with the sternum"; "a floating kidney"
- borne up by or suspended in a liquid; "the ship is still floating"; "floating logs"; "floating seaweed"
- inclined to move or be moved about; "a floating crap game"
- either of two bean-shaped excretory organs that filter wastes (especially urea) from the blood and excrete them and water in urine; "urine passes out of the kidney through ureters to the bladder"
PrepTutorEJDIC
- 浮かんでいる,浮いている / (生体の組織などが)遊離状態の / 流動的な
- 腎臓;(食品としての)羊(豚など)の腎臓 / 《文》気質,性質,たち(nature)
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2015/09/12 17:26:22」(JST)
[Wiki en表示]
For other uses, see Ptosis.
Nephroptosis |
Classification and external resources |
Specialty |
urology |
ICD-10 |
N28.8 |
ICD-9-CM |
593.0 |
Nephroptosis (also called floating kidney or renal ptosis) is an abnormal condition in which the kidney drops down into the pelvis when the patient stands up. It is more common in women than in men. It has been one of the most controversial conditions among doctors in both its diagnosis and its treatments.[1]
Contents
- 1 Cause
- 2 Symptoms
- 3 Diagnosis
- 4 Treatment
- 5 References
- 6 External links
Cause
It is believed to result from deficiency of supporting perirenal fasciae.
Symptoms
Nephroptosis is asymptomatic in most patients. However, nephroptosis can be characterized by violent attacks of colicky flank pain, nausea, chills, hypertension, hematuria and proteinuria. Patients with symptomatic nephroptosis often complain of sharp pains that radiate into the groin. Many patients also suggest a weighing feeling on the abdomen. Pain is typically relieved by lying down. The attack of colic pain is called 'Dittel's crisis' or 'renal paroxysm'.
Diagnosis
Diagnosis is contemplated based upon patient symptoms. Diagnosis is confirmed during intravenous urography, by obtaining erect and supine films. The renal DMSA scan may show decreased counts in the sitting position compared with supine scan.
Treatment
Nephropexy was performed in the past to stabilize the kidney, but presently surgery is not recommended in asymptomatic patients. Laparoscopic nephropexy has recently become available for selected symptomatic patients.
References
- ^ Moss SW (1997). "Floating kidneys: a century of nephroptosis and nephropexy". J. Urol. 158 (3 Pt 1): 699–702. doi:10.1016/S0022-5347(01)64296-4. PMID 9258063.
External links
- Barber N, Thompson P (2004). "Nephroptosis and nephropexy--hung up on the past?". Eur Urol 46 (4): 428–33. doi:10.1016/j.eururo.2004.03.023. PMID 15363554.
- "Nephroptosis". Medcyclopaedia. GE. Archived from the original on 2012-02-05.
- Urinary system
- Pathology
- Urologic disease / Uropathy (N00–N39, 580–599)
|
|
Abdominal |
Nephropathy/
(nephritis+
nephrosis) |
Glomerulopathy/
glomerulitis/
(glomerulonephritis+
glomerulonephrosis) |
Primarily
nephrotic |
Non-proliferative |
- Minimal change
- Focal segmental
- Membranous
|
|
Proliferative |
- Mesangial proliferative
- Endocapillary proliferative
- Membranoproliferative/mesangiocapillary
|
|
By condition |
|
|
|
Primarily
nephritic,
RPG |
Type I RPG/Type II hypersensitivity |
|
|
Type II RPG/Type III hypersensitivity |
- Post-streptococcal
- Lupus
- IgA/Berger's
|
|
Type III RPG/Pauci-immune |
- Granulomatosis with polyangiitis
- Microscopic polyangiitis
- Churg–Strauss syndrome
|
|
|
|
Tubulopathy/
tubulitis |
Proximal |
|
|
Thick ascending |
|
|
Distal convoluted |
|
|
Collecting duct |
- Liddle's syndrome
- RTA
- Diabetes insipidus
|
|
Renal papilla |
|
|
Major calyx/pelvis |
- Hydronephrosis
- Pyonephrosis
- Reflux nephropathy
|
|
Any/all |
|
|
|
Interstitium |
- Interstitial nephritis
- Pyelonephritis
- Danubian endemic familial nephropathy
|
|
Any/all |
General syndromes |
- Renal failure
- Acute renal failure
- Chronic kidney disease
- Uremic pericarditis
- Uremia
|
|
Vascular |
- Renal artery stenosis
- Renal ischemia
- Hypertensive nephropathy
- Renovascular hypertension
- Renal cortical necrosis
|
|
Other |
- Analgesic nephropathy
- Renal osteodystrophy
- Nephroptosis
- Abderhalden–Kaufmann–Lignac syndrome
|
|
|
|
Ureter |
- Ureteritis
- Ureterocele
- Megaureter
|
|
|
Pelvic |
Bladder |
- Cystitis
- Interstitial cystitis
- Hunner's ulcer
- Trigonitis
- Hemorrhagic cystitis
- Neurogenic bladder dysfunction
- Bladder sphincter dyssynergia
- Vesicointestinal fistula
- Vesicoureteral reflux
|
|
Urethra |
- Urethritis
- Non-gonococcal urethritis
- Urethral syndrome
- Urethral stricture/Meatal stenosis
- Urethral caruncle
|
|
|
Any/all |
- Obstructive uropathy
- Urinary tract infection
- Retroperitoneal fibrosis
- Urolithiasis
- Bladder stone
- Kidney stone
- Renal colic
- Malakoplakia
- Urinary incontinence
|
|
Index of the urinary system
|
|
Description |
- Anatomy
- Physiology
- Development
- Cells
|
|
Disease |
- Electrolyte and acid-base
- Congenital
- Neoplasms and cancer
- Other
- Symptoms and signs
- Urine tests
- Blood tests
|
|
Treatment |
- Procedures
- Drugs
- Intravenous fluids
|
|
|
UpToDate Contents
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English Journal
- First report of Edwardsiellosis in cage-cultured sharpsnout sea bream, Diplodus puntazzo from the Mediterranean.
- Katharios P1, Kokkari C2, Dourala N3, Smyrli M4.
- BMC veterinary research.BMC Vet Res.2015 Jul 21;11:155. doi: 10.1186/s12917-015-0482-x.
- BACKGROUND: Edwardsiella tarda, is a serious bacterial pathogen affecting a broad range of aquaculture fish species. The bacterium has also been reported as a human pathogen, however recent studies have dissociated the fish pathogenic Edwardsiella from those isolated from humans by placing them in a
- PMID 26193880
- Acute systemic embolism due to an idiopathic floating thrombus of the thoracic aorta: success of medical management: a case report.
- Abissegue YG1, Lyazidi Y2, Chtata H3, Bakkali T4, Taberkant M5.
- BMC research notes.BMC Res Notes.2015 May 2;8:181. doi: 10.1186/s13104-015-1149-1.
- BACKGROUND: Idiopathic thoracic aortic mural thrombi are rare. They can be responsible for dramatic systemic embolization. Early treatment is imperative because of their high morbidity and mortality rate.CASE PRESENTATION: A 55-year-old previously healthy Moroccan male came in an array of acute righ
- PMID 25933802
- Significant Efficacy of Tramadol/Acetaminophen in Elderly Patients with Chronic Low Back Pain Uncontrolled by NSAIDs: An Observational Study.
- Imamura T1.
- The open orthopaedics journal.Open Orthop J.2015 May 15;9:120-5. doi: 10.2174/1874325001509010120. eCollection 2015.
- Chronic low back pain (LBP) is a common condition and is generally treated using non-steroidal anti-inflammatory drug (NSAID); however, chronic NSAID use can decrease renal function. Tramadol, a weak opioid agonist, may improve chronic LBP and disability, while avoiding adverse effects such as gastr
- PMID 26157527
Japanese Journal
- Obstruction of the Superior Mesenteric Artery Due to Emboli from the Thoracic Aorta in a Patient with Thromboangiitis Obliterans
- Kamiya Chiaki,Deguchi Juno,Kitaoka Tadashi,Suzuki Jun,Abe Keiko,Sato Osamu
- Annals of Vascular Diseases 7(3), 320-324, 2014
- … Computed tomography revealed occlusion of the superior mesenteric artery (SMA) and multiple kidney infarction with thrombus floating in the thoracic aorta connected with the intercostal artery. …
- NAID 130004678761
- 尾崎 智基,畠山 仁,和田 新平 [他],Kurata Osamu
- 魚病研究 46(1), 11-18, 2011
- … Kidney leukocytes were seeded onto a monolayer of the feeder cells in enriched RDF medium supplemented with 20% fetal bovine serum and 2.5% flounder serum. … Increasing numbers of floating cells, which signified colony growth, were observed as the length of the culture period increased. … The optimum culture conditions consisted of an incubation temperature of 25℃, the addition of 2.5% flounder serum to the medium and the inoculation of kidney leukocytes at a density of 2 × 106 cells/mL. …
- NAID 130000674859
- Freshwater bacterioplankton cultured from liver, kidney and lungs of a decomposed cadaver retrieved from a sandy seashore : Possibility of drowning in a river and then floating out to sea
- KAKIZAKI Eiji,KOZAWA Shuji,MATSUDA Hirokazu,MURAOKA Eri,UCHIYAMA Taketo,SAKAI Masahiro,YUKAWA Nobuhiro
- Legal medicine 12(4), 195-199, 2010-07-01
- NAID 10027576068
Related Links
- kidney [kid´ne] either of the two bean-shaped organs in the lumbar region that filter the blood, excreting the end-products of body metabolism in the form of urine, and regulating the concentrations of hydrogen, sodium, potassium ...
- I have already fabricated the refrain: Her heart was in the right place, lads, but she had a floating kidney!
★リンクテーブル★
[★]
- 英
- floating kidney, migrating kidney, movable kidney, wandering kidney
- ラ
- ren mobilis
- 同
- 腎下垂症 nephroptosis、遊走腎症?
- 関
- 起立性タンパク尿
[show details]
定義
- 1. 腎臓の固定がゆるく、立位の際に下降し、側腹部痛、腰痛、血尿を伴う病態
- 2. 立位で1.5椎体以上移動
- 腎臓は腎筋膜や脂肪組織に包まれて固定されており、呼吸時や立位時でも限られた範囲でのみ移動するのが正常
疫学
[★]
腎臓
- 同
- KUB