Elmoudane Anouar, Boukhannous Ibrahim, Elalaoui Anass, Alaoui Mhammedi Wassim, Mokhtari Mohamed, Barki Ali
Department of Urology, Mohamed VI University Hospital Center, Mohamed I University, Oujda, Morocco.
Department Head of Urology, Mohamed VI University Hospital Center, Mohamed I University, Oujda, 62000, Morocco.
Urol Case Rep. 2022 Sep 21;45:102231. doi: 10.1016/j.eucr.2022.102231. eCollection 2022 Nov.
Extravasation of urine following forniceal rupture of a pelviureteric junction is a rare complication; the existence of pyonephrosis can result to retroperitoneal abscess but its fistulization into peritoneal cavity is exceptional. We report a case of a 22-year-old men who presented a clinical aspects of peritonitis, abdominal CT scan findings suggested retroperitoneal peritonitis by rupture of the fornix. This case emphasizes an unusual presentation of pyonephrosis with peritonitis and pyoperitoneum caused by a ureteropelvic junction syndrome.
肾盂输尿管连接处穹窿破裂后尿液外渗是一种罕见的并发症;肾积脓的存在可导致腹膜后脓肿,但其瘘入腹腔的情况极为罕见。我们报告一例22岁男性患者,其临床表现为腹膜炎,腹部CT扫描结果提示穹窿破裂导致腹膜后腹膜炎。该病例强调了由输尿管肾盂连接综合征引起的肾积脓伴腹膜炎和脓性腹膜炎的不寻常表现。