Mikami K, Takei K, Naito H
Department of Urology, Numazu City Hospital.
Hinyokika Kiyo. 1997 Dec;43(12):867-70.
Spontaneous rupture of the kidney is uncommon. We report a case of spontaneous rupture of the kidney due to a renal cell carcinoma. A 53-year-old man presented with right renal tumor. Computed tomography demonstrated a 70 mm right renal tumor which involved the entire upper pole of the kidney and extended into the renal vein. A few days later, the patient had sudden severe right flank pain. Computed tomography of the abdomen revealed a large perirenal hematoma of the right kidney. Angiography demonstrated no vascular abnormality. Nephrectomy was performed. The histological examination showed rupture of a renal cell carcinoma in the right kidney.
肾自发性破裂并不常见。我们报告一例因肾细胞癌导致的肾自发性破裂病例。一名53岁男性出现右肾肿瘤。计算机断层扫描显示一个70毫米的右肾肿瘤，累及整个肾上极并延伸至肾静脉。几天后，患者突然出现严重的右侧腰痛。腹部计算机断层扫描显示右肾周围有巨大血肿。血管造影未显示血管异常。遂行肾切除术。组织学检查显示右肾肾细胞癌破裂。
