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一例罕见的肾盂自发性破裂病例。

An unusual case of spontaneous rupture of the renal pelvis.

作者信息

Weber Theodore, DeSanto Matthew, Ricchiuti Daniel

机构信息

NEOMED: Northeastern Ohio Medical University, USA.

出版信息

Urol Case Rep. 2022 Mar 25;43:102060. doi: 10.1016/j.eucr.2022.102060. eCollection 2022 Jul.

DOI:10.1016/j.eucr.2022.102060
PMID:35368982
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8967704/
Abstract

Spontaneous rupture of the renal pelvis is a relatively rare urologic finding. It is associated with obstructing ureteral calculi and can occur with or without urinary instrumentation. Spontaneous rupture is typically diagnosed through imaging modalities such as computed tomography (CT) scans or retrograde pyelography. In this case report, we detail a case regarding spontaneous rupture of the renal pelvis (SRRP) of a 33-year-old male with idiopathic extravasation of contrast from the renal pelvis discovered on delayed phase CT scan of the abdomen and pelvis. This is a unique case of SRRP as the etiology remains idiopathic.

摘要

肾盂自发性破裂是一种相对罕见的泌尿外科病症。它与输尿管结石梗阻相关,有无泌尿系统器械操作均可发生。自发性破裂通常通过计算机断层扫描(CT)或逆行肾盂造影等影像学检查来诊断。在本病例报告中,我们详细介绍了一例33岁男性肾盂自发性破裂(SRRP)的病例,该患者在腹部和盆腔延迟期CT扫描中发现肾盂造影剂特发性外渗。这是一例独特的SRRP病例,因为其病因仍为特发性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/968f/8967704/341506e9b890/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/968f/8967704/d21139898f03/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/968f/8967704/f27c06812ec9/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/968f/8967704/341506e9b890/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/968f/8967704/d21139898f03/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/968f/8967704/f27c06812ec9/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/968f/8967704/341506e9b890/gr3.jpg

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J Surg Case Rep. 2025 Apr 3;2025(4):rjaf185. doi: 10.1093/jscr/rjaf185. eCollection 2025 Apr.

本文引用的文献

1
Spontaneous rupture of the renal pelvis due to obstruction of pelviureteric junction by renal stone: A case report and review of the literature.肾结石致肾盂输尿管连接处梗阻引起的肾盂自发性破裂:1例病例报告及文献复习
Urol Ann. 2017 Jul-Sep;9(3):293-295. doi: 10.4103/UA.UA_24_17.
2
Spontaneous rupture of renal pelvis as a rare complication of ureteral lithiasis.肾盂自发性破裂作为输尿管结石的一种罕见并发症。
Turk J Urol. 2016 Mar;42(1):37-40. doi: 10.5152/tud.2015.92979.
3
Spontaneous ureteral rupture diagnosis and treatment.自发性输尿管破裂的诊断与治疗。
Case Rep Radiol. 2013;2013:851859. doi: 10.1155/2013/851859. Epub 2013 Dec 23.
4
Nonoperative management outcomes of isolated urinary extravasation following renal lacerations due to external trauma.因外部创伤导致肾裂伤后孤立性尿外渗的非手术治疗结果
J Urol. 2006 Dec;176(6 Pt 1):2494-7. doi: 10.1016/j.juro.2006.08.015.