腎臟自發性破裂為一罕見的情形,主要與自身疾病有關,大部分的病例皆源自於腎臟腫瘤。我們發現一個二十六歲有泌尿生殖器結核的男性病人在治療結核的過程中產生了腎臟自發性破裂合併尿囊腫。我們成功地利用了經皮穿刺引流術治療這個病人且避免使用到根除性手術。進一步的氣球擴張術亦成功地治療了病人的輸尿管狹窄。根據我們所知,這是第一個因泌尿生殖器結核誘發的腎臟自發性破裂之病例。
Spontaneous rupture of the kidney is a rare condition generally associated with underlying diseases, and most cases are due to renal tumors. Spontaneous rupture of the kidney with a huge urinoma was found in a 26-year-old man with genitourinary tuberculosis during anti-tuberculosis chemotherapy. The patient was successfully treated with percutaneous drainage, which saves the patient from having a radical operation. Subsequent endoureterotomy with balloon dilatation effectively treated stenosis of the ureter. To our knowledge, this is the first case of kidney rupture as the consequence of genitourinary tuberculosis.