Spontaneous Nontraumatic Perirenal Hematoma: A Case Report

自發性非外傷腎週邊血腫：一例個案報告

馮卓超(Cho-Chao Feng) ； 張道平(To-Ping Cheung) ； 石福來(Fu-Lai Shi) ； 胡彼得(Pei-Tak Woo)

《中華民國急救加護醫學會雜誌》 21卷2期 (2010/06) Pp. 88-93

https://doi.org/10.30018/JECCM.201006.0004

摘要

自發性腎週邊血腫是一罕見醫療急症且不易早期診斷。它最常是因腎腫為破裂(61.5%)和血管疾病(17%)。我們報告一案例無任何過去系統性疾病及外傷病史的28歲男性病患，因發生右側腰部嚴重疼痛一天，無血尿、也無腎水腫的合併症。他被初步診斷為肌肉疼痛;隨後又被追蹤的腹部超音波診斷為疑似肝腫瘤並腫挖內出血。最後經由外科探索術及病理切片證實後，確認是因右腎血管脂肪肌瘤破裂合併自發性腎週邊血腫所導致。該病患經摘除右腎血管脂肪瘤後，在無併發症情形下出院。

關鍵字

自發性腎週邊血腫 ； 非外傷 ； 血管脂肪肌瘤

並列摘要

Spontaneous perirenal heamatoma is a rare medical emerency and is difficult to diagnose early. It mostly occurs secondary to rupture of a renal tumor (61.5%) and vascular disease (17%). We report a case of 28 year-old man without a history of systemic disease or trauma, who had progressive severe right flank pain without hematuria or hydronephrosis fir one day. He was initially diagnosed as having muscle pain, and then a hepatic tumor with intra-tumor bleeding was suspected on follow-up abdominal sonography. Finally, a right renal angiomyolipoma rupture with perirenal heamatoma was proved pathologically alter surgical exploration. The patient was discharged without complications after enucleation of the angiomyolipoma in the right kidney.

並列關鍵字

spontaneous perirenal heamatoma ； non-traumatic ； angiomyolipoma