钝性腹部创伤后异位盆腔发育异常肾破裂表现为左下腹疼痛。
Rupture of ectopic pelvic dysplastic kidney after blunt abdominal trauma presenting as left lower quadrant pain.
作者信息
Ho Sai-Wai, Yeh Ying-Tung, Yeh Chao-Bin
机构信息
Department of Emergency Medicine, Chung Shan Medical University Hospital, Taichung, Taiwan.
出版信息
J Emerg Med. 2013 Feb;44(2):e173-5. doi: 10.1016/j.jemermed.2012.02.072. Epub 2012 Aug 24.
BACKGROUND
Ectopic pelvic dysplastic kidney is very rare. To our knowledge, there is no case report in the literature that discusses the diagnosis and management of ectopic pelvic dysplastic kidney in trauma.
OBJECTIVES
To report an unusual organ injury after abdominal blunt trauma.
CASE REPORT
A 23-year-old man presented to the Emergency Department with complaints of left lower quadrant pain after blunt abdominal trauma. Rupture of an ectopic pelvic dysplastic kidney was suspected from ultrasonography and then confirmed by a computed tomography scan. The patient was managed successfully with conservative therapy.
CONCLUSIONS
The focused assessment with sonography for trauma examination is beneficial to hemodynamically stable blunt abdominal trauma patients because unusual organ injuries can be detected early.
背景
盆腔异位发育不良肾非常罕见。据我们所知，文献中尚无关于创伤性盆腔异位发育不良肾的诊断和处理的病例报告。
目的
报告一例腹部钝性创伤后罕见的器官损伤。
病例报告
一名23岁男性因腹部钝性创伤后左下象限疼痛就诊于急诊科。超声检查怀疑盆腔异位发育不良肾破裂，随后计算机断层扫描得以证实。该患者经保守治疗成功治愈。
结论
创伤超声重点评估检查对血流动力学稳定的腹部钝性创伤患者有益，因为可早期发现罕见的器官损伤。
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