Shin Masaru, Momohara Chikahiro, Komori Kazuhiko, Takada Tsuyoshi, Honda Masahito, Fujioka Hideki
Department of Urology, Osaka Police Hospital.
Hinyokika Kiyo. 2003 Nov;49(11):679-82.
A case of rupture of giant hydronephrosis due to blunt trauma is reported. A 49-year-old male was admitted to our hospital complaining of right flank pain and gross hematuria after falling from a roof. Radiological evaluation lead to the diagnosis of marked right hydronephrosis with severe parenchymal thinning secondary to ureteral stone, left staghorn calculus and the rupture of right kidney. Right nephrectomy was performed and the postoperative course was uneventful. Three weeks later, percutaneous nephrolithotomy (PNL) was performed for left staghorn calculus. Other articles concerning giant hydronephrosis discovered following trauma are reviewed.
本文报道了一例因钝性创伤导致巨大肾积水破裂的病例。一名49岁男性因从屋顶跌落后来我院就诊,主诉右侧腰痛和肉眼血尿。影像学评估诊断为右侧明显肾积水,继发于输尿管结石、左侧鹿角形结石和右肾破裂,肾实质严重变薄。行右肾切除术,术后恢复顺利。三周后,对左侧鹿角形结石行经皮肾镜取石术(PNL)。并对创伤后发现的巨大肾积水的其他相关文献进行了综述。