Spontaneous Rupture of Renal Pelvis with Urinoma Formation-A Report of 3 Cases

自發性腎盂破裂併尿性囊腫形成

謝嘉興(Gia-Shing Shieh) ； 蔡宗欣(Tzong-Shin Tzai) ； 唐一清(Yat-Ching Tong)

《中華民國泌尿科醫學會雜誌》 9卷2期 (1998/06) Pp. 76-80

https://doi.org/10.7024/JUAROC.199806.0076

摘要

自發性腎盂破裂併尿性囊腫形成是一種少見的現象，本文報告三位病例，其中一位是因為輸尿管結石而發生腎盂破裂併尿液外滲現象，另外二位分別是因為輸尿管腫瘤及膀胱腫瘤併輸尿管阻塞。另外值得注意的一個現象是其中一位病患以腹膜炎的症候表現，因此在急診時我們必須小心地區分尿液外滲現象和其他急性腹痛，並且去發現尿液外滲現象的原因，同時在本院病例中惡性輸尿管阻塞也會這種現象，因此在面對這類病患時，小心評估是必要的。

關鍵字

輸尿管結石 ； 輸尿管腫瘤 ； 尿性囊腫

並列摘要

Spontaneous rupture of renal pelvis with urinoma formation is relatively unusual. We experienced 3 cases of this phenomenon. The causes of peripelvic leakage were ureteral stone, ureteral tumor(transitional cell carcinoma) and bladder turn or(transitional cell carcinoma) with obstruction of the ureterovesical junction. Among these three cases, one patient presented with signs resembling the symptoms of peritonitis. Therefore, it is necessary to dfferentiate peripelvic extravasation from other disease entities of acute abdomen and to search for the underlying disease of this phenomenon carefully. We must be alert that this condition may also be caused by malignant ureteral obstruction.

並列關鍵字

ureteral stone ； ureteral tumor ； urinoma