Amano T, Miyazaki K, Oshinoya Y, Fujita Y, Ishizaka T
Department of Urology, Fujita Memorial Hospital.
Hinyokika Kiyo. 1992 May;38(5):579-81.
We report a case of spontaneous rupture of the renal pelvis and a case of spontaneous peripelvic extravasation, which were associated with ureteral stones. Case 1 was in a 73-year-old man with complaint of left flank pain. Excretory urograms showed left spontaneous rupture of the renal pelvis associated with left ureteral stone. Double-J ureteral stent was placed immediately and transurethral ureterolithotripsy (TUL) was performed after disappearance of extravasation. Case 2 was in a 34-year-old woman with complaint of left flank pain. Excretory urograms showed left ureteral stone and spontaneous peripelvic extravasation. The stone passed spontaneously and the extravasation disappeared with conservative therapy.
我们报告了一例肾盂自发性破裂和一例肾盂周围自发性外渗病例，二者均与输尿管结石有关。病例1为一名73岁男性，主诉左侧腰痛。排泄性尿路造影显示左侧肾盂自发性破裂并伴有左侧输尿管结石。立即置入双J输尿管支架，外渗消失后行经尿道输尿管碎石术（TUL）。病例2为一名34岁女性，主诉左侧腰痛。排泄性尿路造影显示左侧输尿管结石和肾盂周围自发性外渗。结石自行排出，经保守治疗后外渗消失。
