后尿道瓣膜导致的肾自发性破裂——诊断困难
Spontaneous rupture of kidney due to posterior urethral valve-diagnostic difficulties.
作者信息
Kiliś-Pstrusińska Katarzyna, Pukajło-Marczyk Agnieszka, Patkowski Dariusz, Zalewska-Dorobisz Urszula, Zwolińska Danuta
机构信息
Department of Paediatric Nephrology, Wrocław Medical University, Wrocław, Poland.
出版信息
Iran J Pediatr. 2013 Jun;23(3):360-2.
BACKGROUND
Spontaneous kidney rupture could develop in the course of posterior urethral valve (PUV), the most common cause of outflow urinary tract obstruction in male infants. However, urinary extravasation is a rare complication among this group of children.
CASE PRESENTATION
Our case report presents diagnostic difficulties connected with spontaneous kidney rupture due to PUV in a 6 week-old infant. Due to not equivocal images, thundery course of disease and rapid deterioration in the infant's condition, the patient required an urgent laparatomy.
CONCLUSION
This case showed that the investigation of renal abnormalities during early neonatal period, is very important specifically in PUV that can lead to kidney rupture.
背景
自发性肾破裂可发生于后尿道瓣膜（PUV）病程中，后尿道瓣膜是男性婴儿下尿路梗阻最常见的原因。然而，尿外渗在这类儿童中是一种罕见的并发症。
病例介绍
我们的病例报告展示了一名6周大婴儿因后尿道瓣膜导致自发性肾破裂所带来的诊断困难。由于影像不明确、病情呈雷暴样发展且婴儿病情迅速恶化，该患者需要紧急剖腹手术。
结论
该病例表明，在新生儿早期对肾脏异常进行检查非常重要，特别是在可能导致肾破裂的后尿道瓣膜病例中。
Zotero 插件