急性输尿管梗阻导致肾穹窿破裂

João Marco Braz Scarpa Mariano Pereira, Luiz Carlos Maciel, José Vitor Santos Gomes, Leonardo de Oliveira Antunes, Guilherme Diego de Oliveira Barbosa, Lucas De Souza Gomes
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引用次数: 0

摘要

背景:肾穹窿破裂伴液体外渗是输尿管梗阻病例中一种罕见的并发症,通常由梗阻性输尿管结石引起。肾穹窿破裂的症状并不十分特异,很容易因其潜在原因而被忽视。病例代表:本文报告了一例 70 岁男性患者的病例,经过临床评估和非对比 CT 扫描,该患者被诊断为急性输尿管梗阻导致的肾穹窿破裂。建议采取的治疗方案是在内窥镜下置入双 J 输尿管导管。结论在所述病例中,通过左侧输尿管置入双 J 型导尿管的保守疗法证明是急性期手术治疗的替代方案,降低了手术可能引起并发症的风险。由此可以得出结论,虽然肾穹窿破裂是一种罕见的急症,有多种病因,但使用双 J 输尿管支架进行尿流改道的保守治疗能有效解决患者的急性病症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Renal Fornix Rupture Due To Acute Ureteral Obstruction
Background: Renal fornix rupture with fluid extravasation is a rare complication in cases of ureteral obstruction, which is usually caused by obstructive ureterolithiasis. The symptoms of renal fornix rupture are not very specific and can easily go unnoticed due to their underlying cause. Case representation: The present article reports a case of a patient of a 70-year-old, male, who was diagnosed with a ruptured renal fornix due to acute ureteral obstruction, following clinical assessment and a non-contrast CT scan. The proposed course of action was the endoscopic placement of a double J ureteral catheter. Conclusion: In the case described, the conservative treatment that was chosen by passing a double J catheter through the left ureter, for the patient proved to be an alternative to surgical treatment in the acute event, reducing the risk of possible complications from the operation. It was possible to conclude that although renal fornix rupture is a rare emergency with multiple etiologies, conservative treatment with urinary diversion using a double J ureteral stent was effective in solving the patient's acute condition.
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