Naile DÖLEK, Osman AKYÜZ, Müslüm ERGÜN, Kamil ÇAM

COVID-19 enfeksiyonu geçiren hastada böbrek pelvis rüpürünün eşlik ettiği spontan ciddi retroperitoneal kanama: olgu sunumu

Spontan renal pelvis rüptürü nadir rastlanılan ürolojik olay olup idrarın extravazasyonuna neden olan bir durumdur. Sıklıkla üriner sistemde gelişen obstrüksiyonlara sekonder olarak pelvis içi basıncın artması sonucu gelişir. Spontan retroperitoneal hematom da yine benzer şekilde travma veya altta yatan bir patoloji olmaksızın ortaya çıkan retroperitoneal kanamalardır. Bu çalışmada 63 yaşında antikoagulan tedavisi alan Covid-19 tanılı bir bayan hastada, retroperitonda spontan olarak oluşan hematom ve hematomun basısına sekonder olarak gelişen spontan renal pelvis rüptürü olgusunu sunuyoruz. Bu olgu ışığında Covid-19 infeksiyonuna bağlı yaygın endotel hücre hasarının, spontan ciddi retroperitenal kanamaya ve eşlik eden renal pelvis rüptürüne neden olabileceğini vurgulamak istiyoruz. Nadir görülen durumlar olan spontan renal pelvis rüptürü ve spontan retroperitoneal kanamanın aynı anda aynı hastada görüldüğü literatürde ilk kez bildirilmektedir.

Anahtar Kelimeler:

Antikoagulan tedavi, Covit-19, renal pelvis rüptürü, retroperitoneal hematom, uriner obstruksiyon

Spontaneous severe retroperitoneal hemorrhage with concomitant renal pelvis rupture during the course of COVID-19 infection: a case report

Spontaneous rupture of the renal pelvis is a rarely encountered urological event that causes extravasation of urine. It often occurs as a result of increased intrapelvic pressure secondary to obstructions developed in the urinary system. Similarly spontaneous retroperitoneal hematoma is retroperitoneal hemorrhage that occurs without trauma or an underlying pathology. In this study, we present a case of spontaneous rupture of the renal pelvis that developed secondary to compression of the hematoma that occurred spontaneously in the retroperitoneum in a 63-year-old female patient who received anticoagulant therapy with the diagnosis of Covid-19 infection. In the light of this case, we would like to emphasize that widespread endothelial cell damage associated with Covid-19 infection may cause spontaneous severe retroperitenal bleeding and accompanying renal pelvis rupture. In which both the rarely encountered spontaneous rupture of the renal pelvis and spontaneous retroperitoneal bleeding are seen simultaneously in the same patient, is reporting for the first time in the literature.

Keywords:

Anticoagulant treatment, Covid-19, renal pelvis rupture, retroperitoneal hematoma, urinary obstruction,

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