Bellin J, Durand M, Laurent J M, Gagliardi J J, Gervais C F
Service de Chirurgie A2, Centre Hospitalier Marc-Jacquet, Melun.
J Urol (Paris). 1991;97(3):150-4.
A case of a tumor of the urinary tract discovered after renal trauma is reported. The clinical and radiolocal observations are presented as well as the interest of this case in forensic medicine. A review of the legal aspects recalls the principles of imputability in cases of cancer and trauma. While malignant tumors discovered after renal trauma are often renal cancers, urinary tract tumors can also be revealed after renal trauma. This unfrequent circumstance of discovery underlines the importance of control urography in cases of renal trauma, of history taking (smoking), and of the requirement for follow-up investigations if intra-luminal urographic abnormalities persist without damage to the renal parenchyma on the CAT scan.
报告了一例肾外伤后发现的泌尿道肿瘤病例。介绍了临床和放射性定位观察结果以及该病例在法医学上的意义。对法律方面的回顾回顾了癌症和外伤案件中的归责原则。虽然肾外伤后发现的恶性肿瘤通常是肾癌，但肾外伤后也可能发现泌尿道肿瘤。这种不常见的发现情况凸显了肾外伤病例中尿路造影检查、病史询问（吸烟情况）以及如果CT扫描显示肾实质无损伤但腔内尿路造影异常持续存在时进行后续检查的必要性。
