Non-tumoral Disease Involvement of the Perirenal Space: Evaluation with Computed Tomography

電腦斷層掃描術對於非腫瘤疾病侵犯腎周圍間隙之評估

楊國雲(Kwok-Wan Yeung) ； 陳彥達(Yen-Ta Chen) ； 曾以仁(I-Jen Tseng) ； 陳明潭(Ming-Tan Chen)

《中華放射線醫學雜誌》 26卷2期 (2001/04) Pp. 85-90

摘要

15位病人患有後腹腔之非腫瘤疾病，以腹部電腦斷層掃描術（電腦斷層）評估其侵犯腎周圍間隙之情形。疾病之種類包括尿性囊腫二例，腹部鈍挫傷二例，輸尿管及腎結石引起之膿瘍各一例，體外震波碎石術（ESWL）後造成之膿瘍一例，ESWL後造成之血腫一例，輸尿管導管引起之輸尿管傷害二例，腎盂腎炎一例及胰臟炎四例。所有病患皆接受靜脈注射造影前之電腦斷層，其中11位同時也接受注射造影後之電腦斷層。於疾病侵犯範圍方面，一例之腎周圍間隙尿性囊腫及一例血腫延伸至腎周圍間隙圓椎之下緣，一例之尿性囊腫則通過圓椎下緣到達骨盆腔，一例之尿性囊腫及一例之血腫於大血管前方通過中線。結論為後腹腔疾病可侵犯腎周圍間隙，電腦斷層為一評估疾病侵犯及延伸範圍的良好工具。

關鍵字

疾病 ； 後腹腔 ； 電腦斷層

並列摘要

Fifteen patients with non-tumoral, retroperitoneal disease involving the perirenal spaces were evaluated using abdominal computed tomography (CT). The disease entity included urinomas (2 patients), blunt abdominal traumas (2 patients), abscesses due to ureteral stones (1 patient) and renal stones (1 patient), abscess formation status post extracorporeal shock wave lithotripsy (ESWL) (1 patient), hematoma after ESWL (1 patient), ureteral catheter-induced traumas (2 patients), pyelonephritis (1 patient), and pancreatitis (4 patients). All patients were evaluated with non-enhanced CT and 11 patients were studied using intravenous contrast enhancement. One patient had a perirenal urinoma and one had a hematoma that extended down through the inferior cone to the pelvic cavity. One patient had a urinoma and one patient had a hematoma that passed the midline anterior to the great vessels. We concluded that retroperitoneal disease can involve the perirenal spaces and CT is a good imaging tool to evaluate the extent of the disease.

並列關鍵字

Disease ； retroperitoneal space ； Computed tomography (CT)