Spontan non-travmatik üriner ekstravazasyon: Olgu sunumu ve literatürün gözden geçirilmesi

Ani başlayan kolik tarzı sol yan ağrısı olan 49 yaşındaki erkek hastada intravenöz piyelografi ile üriner ekstravazasyon saptandı. Görüntüleme yöntemleri ve üreterorenoskopi ile ekstravazasyon nedeni olabilecek patoloji belirlenmedi. Spontan non-travmatik idrar ekstravazasyon olarak kabul edilen olgu l ay süreyle J stent ile izlenerek tam tedavi sağlandı. Ender görülen bu olgu literatür eşliğinde tanı ve tedavi yönünden tartışılmıştır.

Spontaneous nontraumatic urinary extravasation: Case report and review of the literature

Urinary extravasation was demonstrated by intravenous pyelography in a 49-year-old male patient who presented with sudden colic type flank pain. Neither imaging modalities nor ureterorenoscopy could delineate a cause for extravasation. The patient was regarded as a case of non-traumatic spontaneous urinary extravasation and complete healing was achieved by J stent drainage for one month. This rare case is discussed in light of the literature with relevance to diagnosis and treat-ment.

Kaynakça

1. Paajanen H, Kettunen J, Tainio H, Jauhiainen K. Spontaneous peripelvic extravasation of urine as a cause of acute abdomen. Scand J Urol Nephrol, 27: 333,1993.

2. Amano T, Miyazaki K, Oshinoya Y et al. Renal pelvic extravasation of urine associated with ureteral stones: report of two cases. Hinyokika Kiyo, 38: 579, 1992.

3. Koga S, Arakaki Y, Matsuoka M, Ohyama C. Spontaneous peripelvic extravasation of urine. Int Urol Nephrol, 24: 465, 1992.

4. Satoh A, Mizuno R, Ikeuchi K. Spontaneous peripelvic extravasation secondary to ovarian cyst: a case report. Hinyokika Kiyo. 47: 735, 2001.

5. Van Winter JT, Ogburn PL Jr, Engen DE, Webb MJ. Spontaneous renal rupture during pregnancy. Mayo Clin Proc, 66: 179,1991.

6. Konami T, Arai Y, Paku K et al. Spontaneous urinary extravasation due to chronic ureteral obstruction. Hinyokika Kiyo, 31:1801,1985.

7. Buckley N, Smith JM. Renal extravasation of urine due to bladder outflow obstruction. J Urol, 132: 1161,1984.

8. Ertugrul A, Yücel S, ilker Y, Akdas A. Use of double J stent in a case of spontaneous ureteral extravasation of urine. Arch Esp Urol, 53: 491, 2000.

9. Akpmar H, Kural AR, Tüfek I et al. Spontaneous ureteral rupture: is immediate surgical intervention always necessary? Presentation of four cases and review of the literature. J Endourol, 16: 179, 2002.

10. Verdu Martinez M, Napal Lecumberri S, Kilani Elsmari S et al. Spontaneous extravasation of urine at the pyelo-caliceal level. Spontaneous urinomas. Arch Esp Urol, 46: 49,1993.

11. Valero Puerta JA, Medina Perez M, Valpuesta Fernandez I, Sanchez Gonzalez M.: Surgical treatment of kidney pelvis spontaneous rupture. Arch Esp Urol, 51: 728,1998.

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