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[马蹄肾破裂]

[Horseshoe kidney rupture].

作者信息

Heredero Zorzo Oscar, Palacios Hernandez Alberto, Eguiluz Lumbreras Pablo, Herrero Polo Manuel, Gomez Zancajo Victoriano Ramón, Garcia Garcia Miguel Angel, Diaz Alferez Francisco Jose, Urrutia Avisrror Manuel

机构信息

Department and Chair of Urology, Salamanca University Clinic Hospital, Salamancam, Spain.

出版信息

Arch Esp Urol. 2009 Mar;62(2):131-3.

PMID:19448280
Abstract

BACKGROUND

We report a rare case of horses-hoe kidney trauma.

METHODS

67 years old man with a horseshoe kidney, which presented a fracture of the isthmus after falling.

RESULTS

The diagnosis was made by IV contrast CT scan. He underwent exploratory laparotomy due to hemodynamic instability and radiologic findings on the CT scan.

CONCLUSIONS

The rupture of a horseshoe kidney is a rare injury. CT scan is the test of choice to classify the degree of injury. Depending on the patient's hemodynamic stability and the findings on the CT scan the options are conservative orimmediate surgical treatment.

摘要

背景

我们报告一例罕见的马蹄肾创伤病例。

方法

一名67岁男性患有马蹄肾,跌倒后出现峡部骨折。

结果

通过静脉造影CT扫描做出诊断。由于血流动力学不稳定以及CT扫描的影像学表现,他接受了剖腹探查术。

结论

马蹄肾破裂是一种罕见的损伤。CT扫描是对损伤程度进行分类的首选检查。根据患者的血流动力学稳定性和CT扫描结果,可选择保守治疗或立即进行手术治疗。

相似文献

1
[Horseshoe kidney rupture].[马蹄肾破裂]
Arch Esp Urol. 2009 Mar;62(2):131-3.
2
[Traumatic rupture of the isthmus of a horseshoe kidney (author's transl)].
J Urol Nephrol (Paris). 1977 Sep-Oct;83(10-11):821-4.
3
[Traumatic rupture of the pancreatic isthmus complicated by concomitant rupture of the duodenum and right kidney].[胰腺峡部创伤性破裂并发十二指肠和右肾破裂]
Chir Ital. 2005 Jan-Feb;57(1):109-13.
4
[Complete rupture of the isthmus of a horseshoe kidney in closed abdominal trauma].[闭合性腹部外伤致马蹄肾峡部完全断裂]
Vestn Khir Im I I Grek. 1980 Oct;125(10):125-6.
5
[Traumatic complete isthmic rupture of horseshoe kidney].[马蹄肾创伤性完全峡部破裂]
Prog Urol. 2006 Apr;16(2):201-3.
6
[Arterial embolization in the treatment of renal trauma of a horseshoe kidney].
Arch Esp Urol. 2005 Dec;58(10):1075-7. doi: 10.4321/s0004-06142005001000015.
7
[Rupture of horseshoe kidney with avulsion of the kidney pelvis and renal vein].马蹄肾破裂伴肾盂及肾静脉撕脱
Vestn Khir Im I I Grek. 1984 Mar;132(3):123.
8
[A case of carcinoid tumor arising from a horseshoe kidney].[一例起源于马蹄肾的类癌肿瘤病例]
Hinyokika Kiyo. 2009 Jun;55(6):327-30.
9
[Renal cell carcinoma in a horseshoe kidney: a case report].马蹄肾中的肾细胞癌:一例报告
Hinyokika Kiyo. 2009 Oct;55(10):611-3.
10
[Death due to rupture of a horseshoe kidney in a blunt wound of the abdomen].
Sud Med Ekspert. 1967 Oct-Dec;10(4):49-50.

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