Uchibayashi T, Hisazumi H, Shoda R, Yamamoto H
Hinyokika Kiyo. 1983 Dec;29(12):1653-6.
Nontraumatic renal subcapsular hematoma is an uncommon but not rare clinical entity. If a small renal cell carcinoma is the cause of the hematoma, the carcinoma can hardly be diagnosed on the basis of conventional roentgenographic findings. Computerized tomography provides a noninvasive means of visualizing the hematoma and renal tumor, and of understanding their extent, location and relationship to renal parenchyma. A 42-year-old female, whose complaint was right abdominal pain and vomiting, was admitted to our hospital and a right renal subcapsular hematoma was demonstrated by computerized tomography. She was in good general condition, and renal malignant tumor was not demonstrated by computerized tomography, conventional roentgenographic examinations or ultrasonography. Her clinical course was not eventful . A brief review of clinical diagnosis and management of this disease are made.
非创伤性肾包膜下血肿是一种不常见但也不罕见的临床病症。如果小肾癌是血肿的病因,很难根据传统的X线检查结果诊断出该癌症。计算机断层扫描提供了一种无创方法,可用于观察血肿和肾肿瘤,并了解它们的范围、位置以及与肾实质的关系。一名42岁女性,主诉为右腹痛和呕吐,被收治入我院,计算机断层扫描显示有右肾包膜下血肿。她的一般状况良好,计算机断层扫描、传统X线检查或超声检查均未显示肾恶性肿瘤。她的临床病程平稳。本文对该疾病的临床诊断和治疗进行了简要综述。