Cover D E, Torres V E, Hattery R R, Berquist T H
Division of Nephrology and Internal Medicine, Mayo Clinic, Rochester, MN 55905.
Am J Kidney Dis. 1988 Apr;11(4):343-8. doi: 10.1016/s0272-6386(88)80141-0.
The development of bilateral parapelvic hemorrhagic pseudocysts with abdominal pain, systemic symptoms of malaise and fever, elevation of erythrocyte sedimentation rate and serum alkaline phosphatase, and decreased renal function is described in a patient taking anticoagulants. The symptoms and signs resolved with the resolution of the hemorrhagic pseudocysts. The bilaterality and selective localization of these hemorrhages suggest the existence of a specific pathogenesis. The advent of new imaging techniques in the last decade allows for a diagnosis and a better understanding of the pathologic processes that affect the renal sinus.
本文描述了一名服用抗凝剂的患者出现双侧肾盂旁出血性假性囊肿，并伴有腹痛、全身不适和发热等全身症状，红细胞沉降率和血清碱性磷酸酶升高，以及肾功能下降。随着出血性假性囊肿的消退，症状和体征也随之消失。这些出血的双侧性和选择性定位提示存在特定的发病机制。过去十年中新型成像技术的出现使得对影响肾窦的病理过程能够进行诊断并更好地理解。
