Department of Internal Medicine, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung, Taiwan.
Kaohsiung J Med Sci. 2010 Sep;26(9):502-5. doi: 10.1016/S1607-551X(10)70079-6.
Perirenal hematoma, hematuria, and abdominal pain are common complications of kidney biopsy, but ureter rupture is relatively less frequent. Here we report a patient who experienced severe abdominal pain and gross hematuria following a non-smooth procedure of ultrasound-guided kidney biopsy. Computed tomography showed rupture of the left upper third of the ureter. We implanted a curled double-J catheter between the renal pelvis and urinary bladder. Abdominal pain and gross hematuria improved. After 2 months, the double-J catheter was removed and the patient had no further clinical symptoms. The possibility of ureter rupture, although rare, should be considered in the presence of abdominal pain and gross hematuria in patients after receiving a kidney biopsy.
肾周血肿、血尿和腹痛是肾活检的常见并发症，但输尿管破裂相对较少见。本文报告了 1 例接受超声引导下肾活检非顺行操作的患者，出现严重腹痛和肉眼血尿。CT 显示左侧输尿管上段破裂。我们在肾盂和膀胱之间植入卷曲的双 J 导管。腹痛和肉眼血尿改善。2 个月后，拔除双 J 导管，患者无进一步临床症状。因此，对于接受肾活检的患者出现腹痛和肉眼血尿时，应考虑存在输尿管破裂的可能，尽管这种情况较为罕见。
