Koktener Asli, Unal Dogan, Dilmen Gulcin, Koc Akif
Department of Radiology, School of Medicine, Fatih University, Ankara, Turkey.
J Emerg Med. 2007 Aug;33(2):127-9. doi: 10.1016/j.jemermed.2006.12.031. Epub 2007 Jun 5.
Rupture of the urinary collecting system associated with peripelvic extravasation of the urine is an unusual condition and commonly associated with obstructing calculus. We report a patient, recently given chemotherapy due to lymphoma, with acute abdomen symptoms. He had a renal pelvis rupture with perirenal extravasation of urine, an uncommon condition due to a stone in the ureter. Diagnosis was suspected on serial ultrasonography, and confirmed by computed tomograhy. Diagnosis, follow-up, and therapeutic approach are discussed.
泌尿系统破裂伴肾盂周围尿液外渗是一种罕见情况,通常与梗阻性结石有关。我们报告一名因淋巴瘤近期接受化疗的患者,出现急腹症症状。他发生了肾盂破裂伴肾周尿液外渗,这是一种由输尿管结石导致的罕见情况。通过系列超声检查怀疑诊断,并经计算机断层扫描确诊。本文讨论了诊断、随访及治疗方法。