Yavuzsan Abdullah H, Baloğlu Ibrahim H, Albayrak Ahmet T, Bursali Kerem, Demirel Huseyin C
Urology, Sisli Hamidiye Etfal Training and Research Hospital, University of Health Sciences, Istanbul, TUR.
Cureus. 2021 May 30;13(5):e15332. doi: 10.7759/cureus.15332.
Two patients came to the emergency department with sudden-onset abdominal pain. The first case was a 20-year-old male; a contrast-enhanced computed tomography (CT) scan revealed a 17 cm x 7 cm hematoma in the abdomen and left retroperitoneal space. Furthermore, the left kidney was not visualized by CT. With an emergent diagnostic laparotomy, the etiology of the bleeding was determined to be left atrophic-hydronephrotic kidney rupture. Thus, a left nephrectomy was performed. The second case was a 38-year-old male with a history of chronic hypertension; a CT scan revealed a 7 cm x 6 cm left perirenal hematoma. A left nephrectomy was performed due to hemodynamic instability on the second day of follow-up. A pathology specimen revealed a 1-cm renal cell carcinoma (RCC) in the kidney. In case of hemodynamic instability, spontaneous kidney rupture requires immediate surgical intervention; its causes include atrophic-hydronephrotic kidney and RCC.
两名患者因突发腹痛前来急诊科就诊。第一例是一名20岁男性;增强计算机断层扫描(CT)显示腹部和左腹膜后间隙有一个17厘米×7厘米的血肿。此外,CT未显示左肾。通过急诊诊断性剖腹手术,确定出血病因是左萎缩性肾积水肾破裂。因此,进行了左肾切除术。第二例是一名38岁有慢性高血压病史的男性;CT扫描显示左肾周有一个7厘米×6厘米的血肿。在随访第二天,由于血流动力学不稳定进行了左肾切除术。病理标本显示肾脏中有一个1厘米的肾细胞癌(RCC)。在血流动力学不稳定的情况下,自发性肾破裂需要立即进行手术干预;其病因包括萎缩性肾积水肾和肾细胞癌。