Arrizabalaga M, Benítez J, Gallardo C, Garrido R, Casanueva T
Servicio de Urología, Hospital Nuestra Señora de Alarcos, Ciudad Real
Actas Urol Esp. 1990 Jan-Feb;14(1):36-8.
Rupturing of the psoas muscle by closed injury as a result of the formation of a retroperitoneal hematoma is a very uncommon pathological entity, which may rise problems of differential diagnosis with kidney lesions. Supplementary explorations do not always clear up diagnostic doubts, and it is surgery, if indicated, that confirms the picture. We present a case of retroperitoneal hematoma of traumatic origin in a one-kidney ipsilateral patient, in whom the abdominal CAT revealed affection of the renal capsule associated with rupture of teh psoas. In the surgery carried out due to formation of an abscess in the hematoma we verified that the kidney was undamaged.
因形成腹膜后血肿而导致腰大肌闭合性损伤破裂是一种非常罕见的病理情况，这可能会引发与肾脏病变的鉴别诊断问题。辅助检查并不总能消除诊断疑虑，而如有必要，手术才能确诊病情。我们报告一例单肾同侧患者的外伤性腹膜后血肿病例，该患者腹部计算机断层扫描显示肾包膜受累且伴有腰大肌破裂。在因血肿形成脓肿而进行的手术中，我们证实肾脏未受损。
