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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.

DOI:10.1016/j.eucr.2024.102831
PMID:39280130
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11399654/
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/11399654/751b22c6f1fd/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c7c/11399654/c6348f90620b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c7c/11399654/45da80455b0b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c7c/11399654/751b22c6f1fd/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c7c/11399654/c6348f90620b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c7c/11399654/45da80455b0b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c7c/11399654/751b22c6f1fd/gr3.jpg

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Blunt renal trauma in ureteropelvic junction obstruction kidney: A case report.输尿管肾盂连接处梗阻性肾钝性创伤：一例报告
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American Association for the Surgery of Trauma Organ Injury Scale for kidney injuries predicts nephrectomy, dialysis, and death in patients with blunt injury and nephrectomy for penetrating injuries.美国创伤外科协会肾脏损伤器官损伤评分可预测钝性损伤患者的肾切除术、透析和死亡情况，以及穿透性损伤患者的肾切除术。
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