腹膜后纤维化继发性肛门破裂与尿肌瘤:临床病例及文献综述

P. Avaria Piccardo , M. Hirsch Soto
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引用次数: 1

摘要

继发于梗阻的排泄系统破裂最常见的部位是肾穹窿,梗阻通常由结石引起。穹窿破裂和腹膜后积液形成是腹膜后纤维化的罕见形式。这里提出的情况下,一个男人在第五十年的生活,来到紧急服务,因为腹痛。腹部和骨盆的计算机断层扫描显示轻微增强的腹膜后软组织病变,从外部包裹并压迫右输尿管。第二张低密度的图像在排泄期被观察到,证实是继发于同侧肾穹窿破裂的尿瘤。双j型导管对排泄系统进行减压,并给予全身类固醇治疗,效果良好。腹膜后纤维化是一种罕见的疾病,其特征是腹膜后间隙发生炎症和纤维化。我们在此描述两种形式,特发性和继发性,前者更常见。目前的证据表明,特发性变异与igg4相关疾病有关。
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Rotura forniceal y urinoma secundario a fibrosis retroperitoneal: caso clínico y revisión de la literatura

The most frequent site of excretory system rupture that is secondary to obstruction, usually arising from stone disease, is the renal fornix. Forniceal rupture and the formation of retroperitoneal fluid collections are rare forms of retroperitoneal fibrosis. Presented herein is the case of a man in the fith decade of life that came to the Emergency Service because of abdominal pain. Computed tomography scan of the abdomen and pelvis revealed a slightly enhanced retroperitoneal soft tissue lesion that extrinsically enveloped and compressed the right ureter. A second image of lower density was observed in the excretory phase that proved to be a urinoma secondary to rupture of the ipsilateral renal fornix. A double-J catheter was placed to decompress the excretory system and systemic steroid therapy was given, with good response. Retroperitoneal fibrosis is an uncommon disease characterized by the development of inflammation and fibrosis in the retroperitoneal space. We describe herein 2 forms, idiopathic and secondary, the former being more frequent. Current evidence has associated the idiopathic variant with IgG4-related diseases.

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来源期刊
Revista mexicana de urologia
Revista mexicana de urologia Medicine-Urology
CiteScore
0.20
自引率
0.00%
发文量
49
期刊介绍: Revista Mexicana de Urología (RMU) [Mexican Journal of Urology] (ISSN: 0185-4542 / ISSN electronic: 2007-4085) is bimonthly publication that disseminates research by academicians and professionals of the international medical community interested in urological subjects, in the format of original articles, clinical cases, review articles brief communications and letters to the editor. Owing to its nature, it is publication with international scope that disseminates contributions in Spanish and English that are rigorously reviewed by peers under the double blind modality. Neither journalistic documents nor those that lack rigorous medical or scientific support are suitable for publication.
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