Probst W, Burger H R, Keusch G, Binswanger U
Nephrologische Station, Medizinische Klinik, Universitätsspital Zürich.
Schweiz Med Wochenschr. 1990 Jun 30;120(26):956-9.
Spontaneous rupture of the kidney may occur as a complication of various congenital or acquired renal lesions. We describe three patients with non-traumatic rupture of the kidney, recently seen in our hospital. The rupture was related to polyarteritis nodosa in one case, and in the other two respectively to urothelial carcinoma and to acquired renal cystic disease in end-stage renal disease with continuous ambulatory peritoneal dialysis. In all patients the hemorrhagic complication led to a previously unsuspected diagnosis. After nephrectomy all patients did well. While spontaneous rupture of the kidney is very rare, it is important to consider this complication in the evaluation of a corresponding clinical picture. The possible causes of renal rupture are discussed.
肾自发性破裂可能作为各种先天性或后天性肾脏病变的并发症出现。我们描述了最近在我院就诊的3例非创伤性肾破裂患者。1例破裂与结节性多动脉炎有关，另外2例分别与移行细胞癌和终末期肾病行持续性非卧床腹膜透析时的获得性肾囊肿病有关。在所有患者中，出血性并发症导致了先前未被怀疑的诊断。肾切除术后所有患者情况良好。虽然肾自发性破裂非常罕见，但在评估相应临床表现时考虑这一并发症很重要。文中讨论了肾破裂的可能原因。
