Healy M E, Teng S S, Moss A A
Radiology. 1984 Dec;153(3):757-62. doi: 10.1148/radiology.153.3.6494473.
The computed tomographic (CT) scans of nine consecutive patients with proved uriniferous pseudocyst (UP) were analyzed retrospectively. Analysis disclosed perirenal space tumefaction in seven patients, tumefaction outside the perirenal space in two patients, cystlike uniformity of attenuation (with specific exceptions) in all nine patients, contrast medium-opacified urine extravasating into the UP in three patients, contrast material within the dependent portion of the UP in one patient, anterior and superior displacement of the kidney in seven patients, hydronephrosis in all nine patients, and associated findings suggesting the underlying cause of UP in five patients. Although these CT findings appear to be quite specific, consideration of this uncommon entity in the CT differential diagnosis requires knowledge of its reported causes, the patient's medical history, and the clinical presentation.
对连续9例经证实患有尿性假囊肿(UP)患者的计算机断层扫描(CT)进行回顾性分析。分析发现,7例患者肾周间隙肿胀,2例患者肾周间隙外肿胀,所有9例患者均有囊肿样均匀衰减(有特定例外情况),3例患者造影剂显影的尿液渗入UP,1例患者UP依赖部分内有造影剂,7例患者肾脏向前上方移位,所有9例患者均有肾积水,5例患者有提示UP潜在病因的相关表现。尽管这些CT表现似乎相当具有特异性,但在CT鉴别诊断中考虑这一罕见实体需要了解其报道的病因、患者的病史及临床表现。