Aliabadi H A, Cass A S, Ireland G W, Matsuura J K
Urology. 1985 Jan;25(1):17-21. doi: 10.1016/0090-4295(85)90555-2.
Spontaneous rupture of a hydronephrotic renal pelvis with massive hemorrhage presents as a perplexing diagnostic challenge to the urologist. The preoperative distinction between this condition and spontaneous rupture of the kidney (Wunderlich disease) may prove uncertain or equivocal despite the application of exhaustive diagnostic modalities. Surgical intervention should follow initial stabilization, and nephrectomy has been the procedure of choice.
肾盂积水伴大量出血的自发性破裂给泌尿外科医生带来了棘手的诊断难题。尽管采用了全面的诊断方法，但术前区分这种情况与肾自发性破裂（温德利希病）可能仍不明确或难以判断。手术干预应在初步稳定病情后进行，肾切除术一直是首选的手术方式。
