el Seweifi A, Engelman U, Hohenfellner R
Department of Urology, Johannes Gutenberg University Medical School, Mainz, FRG.
Eur Urol. 1988;14(2):163-5. doi: 10.1159/000472925.
Spontaneous renal rupture is an infrequent event and is usually caused by a predisposing factor. Up to 178 cases have been published. We present a case of a large spontaneous perirenal hematoma caused by a perihilar renal cell carcinoma of a 1-cm diameter. Reviewing the literature, a classification of the condition is given according to the underlying pathology and mechanism of rupture. The need for explorative surgery in cases which cannot be clarified by noninvasive diagnostic tools is discussed.
自发性肾破裂是一种罕见的事件，通常由诱发因素引起。迄今已发表了多达178例病例。我们报告一例由直径1厘米的肾门周围肾细胞癌引起的巨大自发性肾周血肿病例。通过回顾文献，根据潜在的病理和破裂机制对该病症进行了分类。讨论了在无法通过非侵入性诊断工具明确诊断的病例中进行探查性手术的必要性。
