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Unusual Presentation of Bladder TCC with Rupture of the Renal Pelvis: A Case Report

膀胱過渡上皮癌導致腎盂破裂:一病例報告

摘要


腎盂破裂罕見於靜脈注射尿路攝影(IVU),若發生時,經常是尿路阻塞並伴有突發性腎盂內壓上升所致;雖然各種原因的尿路阻塞,都可造成腎盂破裂,其中以輸尿管結石最常見。我們有一膀胱過渡上皮癌病例,合併輸尿管阻塞及腎盂破裂;靜脈注射尿路攝影(IVU)可見腎盂旁造影劑外漏,電腦斷層攝影(CT)更可清楚描繪後腹腔外漏的情形。我們討論此病例的臨床病程及其影像檢查(IVU及CT)的發現。

並列摘要


Rupture of the renal pelvis is infrequently found on intravenous urography (IVU) and associated with obstructive uropathy with a sudden increase in intrapelvic pressure. Though any etiology of obstruction may cause rupture of the renal pelvis, ureteric calculus is a frequent occurrence. We experienced a case of bladder transitional cell carcinoma (TCC) with obstructive uropathy and rupture of the renal pelvis. The retroperitoneal extravasation was depicted clearly on computed tomography (CT). We discuss the clinical course and present the imaging findings (IVU and CT) of rupture of the renal pelvis.

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