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重复肾积水合并创伤性血尿。病例报告。

Traumatic haematuria in supernumerary hydronephrotic kidney. A case report.

作者信息

Ogreid P I, Bø O, Løovås J

出版信息

Scand J Urol Nephrol. 1979;13(1):127-30. doi: 10.3109/00365597909180013.

DOI:10.3109/00365597909180013
PMID:419382
Abstract

A 27-year-old man had macroscopic haematuria following a blow to the right side of the abdomen. Intravenous pyelography showed narrowing and lateralisation of the right renal pelvis and suggested rupture and fragmentation of the right kidney. Surgical exploration, however, revealed massive hydronephrosis in a supernumerary kidney. The haemorrhage had been caused by rupture of the pelvis. Diagnostic considerations are discussed and the surgical procedure is described. Correct pre-operative evaluation was exceedingly difficult in this case. Only two similar cases were found in the literature.

摘要

一名27岁男性在腹部右侧受到撞击后出现肉眼血尿。静脉肾盂造影显示右肾盂变窄并向外侧移位,提示右肾破裂和碎裂。然而,手术探查发现一个额外肾存在大量肾积水。出血是由肾盂破裂所致。文中讨论了诊断要点并描述了手术过程。该病例的术前正确评估极其困难。文献中仅发现两例类似病例。

相似文献

1
Traumatic haematuria in supernumerary hydronephrotic kidney. A case report.重复肾积水合并创伤性血尿。病例报告。
Scand J Urol Nephrol. 1979;13(1):127-30. doi: 10.3109/00365597909180013.
2
Traumatic rupture of a renal pelvis obstructed at the ureteropelvic junction: case report.输尿管肾盂连接处梗阻的肾盂外伤性破裂:病例报告
J Trauma. 1994 Nov;37(5):850-2.
3
Rupture of a hydronephrotic pelvic kidney.肾盂积水性盆腔肾破裂。
Br J Urol. 1979 Feb;51(1):50. doi: 10.1111/j.1464-410x.1979.tb04248.x.
4
[Right ectopic hydronephrotic kidney with pelvic lithiasis. Report of a case].[右侧异位肾积水伴盆腔结石。病例报告]
Arch Esp Urol. 1998 Apr;51(3):289-93.
5
An unusual case of ureteropelvic junction obstruction.一例罕见的肾盂输尿管连接部梗阻病例。
Urology. 2004 Oct;64(4):805-6. doi: 10.1016/j.urology.2004.06.045.
6
Computed tomography diagnosis of traumatic rupture of congenital hydronephrotic renal pelvis.先天性肾盂积水性肾盂创伤破裂的计算机断层扫描诊断
Urology. 1988 Jul;32(1):65-6. doi: 10.1016/0090-4295(88)90459-1.
7
[Giant hydronephrosis of the upper left kidney in the case of complete, one-sided double pelvis].[完全性单侧重复肾盂病例中左上肾巨大肾积水]
Przegl Lek. 2006;63(5):306-8.
8
[Renal pelvis rupture following fluid loading. Renal pelvis rupture viewed by renography in a patient with hydronephrosis].
Ugeskr Laeger. 1982 Nov 15;144(46):3432-3.
9
[Traumatic renal pelvis rupture associated with previously unknown stenosis at the renal pelvis junction].[创伤性肾盂破裂伴肾盂连接处既往未知狭窄]
Aktuelle Urol. 2003 Mar;34(2):119-20. doi: 10.1055/s-2003-38909.
10
[Macrohematuria in retrocaval ureter].腔静脉后输尿管中的肉眼血尿
Urologe A. 1991 Sep;30(5):317-8.

引用本文的文献

1
Supernumerary kidneys: a clinical and radiological analysis of nine cases.额外肾:九例临床和影像学分析。
BMC Urol. 2019 Oct 17;19(1):93. doi: 10.1186/s12894-019-0522-0.