一名发绀儿童的双侧自发性尿瘤
Bilateral Spontaneous Urinoma in a Cyanotic Child.
作者信息
Swarnim Swarnim, Kumar Dinesh, Bhatt Dheeraj, Sana Sana
机构信息
Division of Paediatric Cardiology, Department of Pediatrics, Post Graduate Institute of Medical Education and Research and Dr Ram Manohar Lohia Hospital, New Delhi, India. Correspondence to: Dr Swarnim, Room No. 409, Doctors hostel, Ram Manohar Lohia Hospital , New Delhi, India.
Division of Paediatric Cardiology, Department of Pediatrics, Post Graduate Institute of Medical Education and Research and Dr Ram Manohar Lohia Hospital, New Delhi, India.
出版信息
Indian Pediatr. 2018 Nov 15;55(11):997-998.
BACKGROUND
Urinoma is an encapsulated collection of extravasated urine, secondary to trauma or obstructive uropathy. Spontaneous bilateral urinoma is rare.
CASE CHARACTERISTICS
7-year-old boy with cyanotic heart disease and fever of unknown origin.
OBESERVATION
The ultrasound abdomen and CT abdomen revealed bilateral spontaneous urinoma which was aspirated and was found to be infected. Following intravenous atibiotics the child became afebrile, with subsequent renal scans showing no recurrence.
MESSAGE
Hypoxia and consequent polycythemia may be responsible for perinephric leaks leading to Non-traumatic spontaneous urinoma.
背景
尿囊肿是继发于创伤或梗阻性尿路病的外渗尿液的包膜性积聚。自发性双侧尿囊肿罕见。
病例特征
一名7岁患有青紫型心脏病且不明原因发热的男孩。
观察结果
腹部超声和腹部CT显示双侧自发性尿囊肿，对其进行了抽吸，发现已感染。静脉注射抗生素后，患儿体温恢复正常，随后的肾脏扫描显示无复发。
要点
缺氧及随之而来的红细胞增多症可能是导致非创伤性自发性尿囊肿的肾周渗漏的原因。
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