Benchekroun A, Alami M, Ghadouane M, Kasmaoui E, Marzouk M, Faik M
Clinique Urologique A, Hôpital Avicenne, CHU Rabat, Maroc.
Prog Urol. 2001 Jun;11(3):523-7.
Spontaneous subcapsular haematoma (SCH) of the kidney is a rare condition, secondary to kidney tumours in more than 50% of cases. Nephrectomy is justified in the presence of tumour or uncontrolled haemorrhage. When the aetiology cannot be determined, thin-slice CT follow-up of the patient's kidney can be performed. The authors report 5 cases of SCH of the kidney. A retropelvic aneurysm was responsible for the haematoma in one case; polyarteritis nodosa was the cause of bleeding in another case and the aetiology could not be determined in two cases. All patients were managed surgically. Nephrectomy was performed in 3 cases and simple evacuation of the haematoma was performed in 2 cases.
肾自发性包膜下血肿(SCH)是一种罕见病症,超过50%的病例继发于肾肿瘤。存在肿瘤或出血无法控制时,肾切除术是合理的。当病因无法确定时,可对患者的肾脏进行薄层CT随访。作者报告了5例肾SCH病例。1例血肿由盆腔后动脉瘤引起;另1例出血原因是结节性多动脉炎,2例病因无法确定。所有患者均接受了手术治疗。3例行肾切除术,2例行单纯血肿清除术。