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对侧根治性肾切除术后肾包膜下尿瘤中的肾脏

Page Kidney From a Subcapsular Urinoma Following Contralateral Radical Nephrectomy.

作者信息

Izekor Bright E, Odigwe Chidozie, Goraya Nimrit, Duran Paula A

机构信息

Internal Medicine, Baylor Scott & White Medical Center - Temple, Temple, USA.

Nephrology, Baylor Scott & White Medical Center - Temple, Temple, USA.

出版信息

Cureus. 2021 Jun 14;13(6):e15639. doi: 10.7759/cureus.15639.

Abstract

Page kidney is a rare cause of hypertension and kidney injury; it results from extrinsic compression of the kidney due to fluid accumulation in the subcapsular space. Hypertensive crisis may be the only presenting clinical sign in patients with Page kidney. Urinomas are a very rare cause of Page kidney with very few cases reported in the literature. Urinoma should be suspected in patients presenting in hypertensive crisis who have a history of recent abdominal trauma, genitourinary malignancy, and renal instrumentation. Patients diagnosed with Page kidney from a urinoma should be managed with the least invasive means possible.

摘要

佩奇肾是高血压和肾损伤的罕见病因;它是由于肾包膜下间隙积液导致肾脏受到外部压迫所致。高血压危象可能是佩奇肾患者唯一的临床表现。尿瘤是佩奇肾的极罕见病因,文献中报道的病例极少。对于有近期腹部创伤、泌尿生殖系统恶性肿瘤和肾脏器械操作史且出现高血压危象的患者,应怀疑有尿瘤。诊断为尿瘤所致佩奇肾的患者应采用尽可能微创的方法进行治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a732/8202125/d68324c1667e/cureus-0013-00000015639-i01.jpg

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