Giyanani V L, Gerlock A J, Grozinger K T, Venable D D, Mirfakhraee M
Urology. 1985 Jan;25(1):8-12. doi: 10.1016/0090-4295(85)90553-9.
The occult unilateral hydronephrotic kidney is often discovered during the genitourinary evaluation of patients sustaining blunt abdominal trauma. Few cases have been reported documenting the angiographic, computerized tomography (CT), and ultrasound appearances. Two cases are described which demonstrate that relatively minor trauma can precipitate hematuria and hypovolemic shock. Angiography demonstrated the bleeding site in both cases and was utilized in conjunction with other parameters of clinical assessment to plan initial management. CT and ultrasound proved to be useful noninvasive diagnostic parameters for baseline and follow-up studies in patients undergoing conservative management. They accurately demonstrated the degree of hydronephrosis, residual renal parenchymal, and resolving hematoma.
隐匿性单侧肾积水性肾脏常在钝性腹部创伤患者的泌尿生殖系统评估中被发现。很少有病例报告记录其血管造影、计算机断层扫描（CT）和超声表现。本文描述了两例病例，显示相对较小的创伤可引发血尿和低血容量性休克。血管造影在两例病例中均显示了出血部位，并与其他临床评估参数一起用于规划初始治疗。CT和超声被证明是保守治疗患者基线和随访研究中有用的非侵入性诊断参数。它们准确地显示了肾积水的程度、残余肾实质以及血肿的消退情况。
