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先天性肾盂输尿管连接处梗阻外伤性破裂

Traumatic rupture of congenital pelviureteric junction obstruction.

作者信息

Razi Basil, Steigler Amy, Cole-Clark Dane, Self Duncan, Latif Edward

机构信息

Department of Urology, Gosford Hospital, Gosford, NSW, Australia.

出版信息

Urol Case Rep. 2024 Aug 23;56:102831. doi: 10.1016/j.eucr.2024.102831. eCollection 2024 Sep.

Abstract

The kidney is frequently injured in blunt abdominal trauma, accounting for 10 % of such cases and being the most commonly affected genitourinary organ in all traumas. Pelviureteric junction obstruction (PUJO) is typically a congenital and asymptomatic anatomical dilatation to the renal pelvis. This article reports on a 21-year-old male who ruptured a congenital PUJO following blunt abdominal trauma. He was managed with a retrograde ureteric stent and a staged pyeloplasty. This case highlights a rare case of urogenital injury due to blunt trauma and explores the impact of congenital anomalies can contribute to injury and lead to significant complications.

摘要

肾脏在钝性腹部创伤中常受损伤,占此类病例的10%,是所有创伤中最常受累的泌尿生殖器官。肾盂输尿管连接处梗阻(PUJO)通常是一种先天性且无症状的肾盂解剖性扩张。本文报道了一名21岁男性,其在钝性腹部创伤后导致先天性PUJO破裂。他接受了逆行输尿管支架置入术和分期肾盂成形术治疗。该病例突出了钝性创伤导致泌尿生殖系统损伤的罕见情况,并探讨了先天性异常对损伤的影响以及可能导致的严重并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c7c/11399654/c6348f90620b/gr1.jpg

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