不完全重复肾盂和输尿管中梗阻性输尿管结石导致的肾实质破裂。
Parenchymal renal rupture due to an obstructive ureteric calculus in an incompletely duplicated renal pelvis and ureter.
作者信息
Toyoshima Moe, Ikarashi Daiki, Sekiguchi Kie, Kawamura Tatsuya, Machida Arisa, Yamaguchi Takeshi, Arakawa Yumeka, Ito Akito, Maekawa Shigekatsu, Obara Wataru
机构信息
Department of Urology Iwate Medical University School of Medicine Iwate Japan.
Department of Urology Iwate Prefectural Chubu Hospital Iwate Japan.
出版信息
IJU Case Rep. 2024 Jan 30;7(2):177-180. doi: 10.1002/iju5.12697. eCollection 2024 Mar.
INTRODUCTION
Parenchymal renal rupture due to a ureteric calculus is extremely rare and an emergency.
CASE PRESENTATION
A 54-year-old man was brought to the emergency room with left back pain without trauma. Computed tomography showed left parenchymal renal rupture with an incompletely duplicated renal pelvis, ureter, and an 11-mm ureteric calculus in the ureterovesical junction. A ureteral stent was placed, and the patient was treated conservatively as his vital signs were stable. We performed transurethral lithotripsy after resolution of the perirenal hematoma.
CONCLUSION
To best of our knowledge, this report is the first to present a case of parenchymal renal rupture due to a ureteric calculus in an incompletely duplicated renal pelvis and ureter. Ureteric calculus within an incompletely duplicated renal pelvis and ureter is at risk of parenchymal renal rupture. Therefore, the aggressive treatment of ureteric calculus could be important.
引言
输尿管结石导致的肾实质破裂极为罕见且属于急症。
病例报告
一名54岁男性因无外伤史的左侧背痛被送至急诊室。计算机断层扫描显示左肾实质破裂，伴有不完全重复肾盂、输尿管，且输尿管膀胱连接处有一枚11毫米的输尿管结石。置入了输尿管支架，鉴于患者生命体征稳定，对其进行了保守治疗。肾周血肿消散后，我们实施了经尿道碎石术。
结论
据我们所知，本报告首次呈现了一例因不完全重复肾盂和输尿管内的输尿管结石导致肾实质破裂的病例。不完全重复肾盂和输尿管内的输尿管结石有导致肾实质破裂的风险。因此，积极治疗输尿管结石可能很重要。
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