Díaz Erick Sierra, Buenrostro Fabián García
Urology Department, Hospital de Pediatría del Centro Medico Nacional de Occidente, Guadalajara, Jalisco, México.
Arch Esp Urol. 2011 Sep;64(7):640-2.
To report a case seen at the Urology Department and comment on the literature.
We present the case of 46 year-old male who presented left flank pain. Intravenous pyelography was performed. The study showed evidence of contrast extravasation at the level of the left renal pelvis and a 7 mm stone located on the left ureterovesical junction. A literature search was performed using Promedicum, Pub Med and Ovid. The search words were: rupture, renal pelvis, lithiasis and spontaneous combined by boolean operators.
The management was successful using endourology procedures and a double pigtail catheter for a two week period.
Spontaneous rupture of the renal pelvis (SRRP) is an infrequent pathological event. Most of the cases are related to obstructive uropathy, infection and diagnostic procedures. Intravenous pyelography is a useful tool although intravenous contrast CT scan has higher sensibility. The treatment depends on patient state but most cases can be managed with minimally invasive procedures and double pigtail catheter placement.
报告一例泌尿外科病例并对相关文献进行评论。
我们呈现一名46岁男性左侧胁腹疼痛的病例。进行了静脉肾盂造影。研究显示左肾盂水平有造影剂外渗迹象，左输尿管膀胱连接处有一枚7毫米结石。使用Promedicum、PubMed和Ovid进行文献检索。检索词为：破裂、肾盂、结石病、自发，并用布尔运算符组合。
采用腔内泌尿外科手术及双猪尾导管置入两周，治疗成功。
肾盂自发性破裂（SRRP）是一种罕见的病理事件。大多数病例与梗阻性尿路病、感染及诊断性操作有关。静脉肾盂造影是一种有用的工具，尽管静脉造影CT扫描敏感性更高。治疗取决于患者状态，但大多数病例可通过微创手术及双猪尾导管置入进行处理。
